0001225208-16-024656.txt : 20160121 0001225208-16-024656.hdr.sgml : 20160121 20160121193652 ACCESSION NUMBER: 0001225208-16-024656 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160119 FILED AS OF DATE: 20160121 DATE AS OF CHANGE: 20160121 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FULLER H B CO CENTRAL INDEX KEY: 0000039368 STANDARD INDUSTRIAL CLASSIFICATION: ADHESIVES & SEALANTS [2891] IRS NUMBER: 410268370 STATE OF INCORPORATION: MN FISCAL YEAR END: 1203 BUSINESS ADDRESS: STREET 1: 1200 WILLOW LAKE BLVD CITY: ST PAUL STATE: MN ZIP: 55110-5132 BUSINESS PHONE: 6126453401 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Owens James CENTRAL INDEX KEY: 0001443909 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09225 FILM NUMBER: 161354539 MAIL ADDRESS: STREET 1: 1200 WILLOW LAKE BOULEVARD STREET 2: P.O. BOX 64683 CITY: ST. PAUL STATE: MN ZIP: 55164-0683 4 1 doc4.xml X0306 4 2016-01-19 0000039368 FULLER H B CO FUL 0001443909 Owens James 1200 WILLOW LAKE BOULEVARD P.O. BOX 64683 ST. PAUL MN 55164-0683 1 President and CEO Common Stock 151664.3660 D Common Stock 337.8200 I By 401(k) Plan Common Stock 280.0000 I By Son Employee Stock Option (Right-to-Buy) 33.3800 2016-01-19 4 A 0 182039.0000 33.3800 A 2026-01-19 Common Stock 182039.0000 182039.0000 D Restricted Stock Units 0.0000 2016-01-19 4 A 0 20823.0000 0.0000 A Common Stock 20823.0000 20823.0000 D Restricted Stock Units 0.0000 2016-01-19 4 A 0 20823.0000 0.0000 A 2019-01-19 Common Stock 20823.0000 20823.0000 D Employee Stock Option (Right-to-Buy) 22.2700 2021-01-20 Common Stock 48331.0000 48331.0000 D Employee Stock Option (Right-to-Buy) 41.0000 2025-01-22 Common Stock 112727.0000 112727.0000 D Employee Stock Option (Right-to-Buy) 48.9200 2024-01-23 Common Stock 79061.0000 79061.0000 D Employee Stock Option (Right-to-Buy) 39.6400 2023-01-24 Common Stock 80697.0000 80697.0000 D Employee Stock Option (Right-to-Buy) 28.4000 2022-01-26 Common Stock 77881.0000 77881.0000 D Employee Stock Option (Right-to-Buy) 25.1900 2021-07-07 Common Stock 15748.0000 15748.0000 D Employee Stock Option (Right-to-Buy) 19.0300 2018-10-02 Common Stock 7385.0000 7385.0000 D Employee Stock Option (Right-to-Buy) 20.5700 2019-12-03 Common Stock 33275.0000 33275.0000 D Employee Stock Option (Right-to-Buy) 14.1500 2018-12-04 Common Stock 47663.0000 47663.0000 D Restricted Stock Units 0.0000 2018-01-22 Common Stock 29151.5200 29151.5200 D Restricted Stock Units 0.0000 2017-01-23 Common Stock 15948.6900 15948.6900 D Amended and Restated Year 2000 Stock Incentive Plan: 189,261 restricted shares were awarded. Amount includes (i) 26,625 restricted shares that are 100% vested; (ii) 6,502 restricted shares that vest in three equal installments beginning on July 7, 2012; and (iii) subject to one or more performance measures being achieved, (a) 19,961 restricted shares that vested in three equal installments beginning on Jan. 20, 2012; (b) 31,472 restricted shares that vest in three equal installments beginning on Jan. 26, 2013; (c) 30,794 restricted shares that will vest in three equal annual installments beginning on Jan. 24, 2014; and (d) 73,907 restricted shares (50% of these shares will vest on January 24, 2016 and 50% will vest on Jan. 24, 2017). Total amount also includes restricted shares acquired pursuant to a dividend accrual feature of the Amended and Restated Year 2000 Stock Incentive Plan. 401(k) Plan: This amount includes shares and dividends acquired pursuant to the H.B.Fuller Company 401(k) & Retirement Plan. Held jointly by spouse and son. H.B. Fuller Company 2013 Master Incentive Plan: This option vests in three equal installments beginning on January 19, 2017. This option makes up part of the reporting person's fiscal year 2016 long-term incentive plan grant. H.B. Fuller Company 2013 Master Incentive Plan: These restricted stock units convert into shares of common stock on a 1-for-1 basis. H.B. Fuller Company 2013 Master Incentive Plan: Each restricted stock unit represents a contingent right to receive one share of H.B. Fuller common stock. Prior to vesting, the number of units subject to the award will be adjusted based on the company's return on invested capital performance for the applicable year. The number of units may increase to as much as 200% or decrease as low as 0% of the initial number of units depending on the level of ROIC performance. The grant amount is shown at a target level of performance. H.B. Fuller Company 2013 Master Incentive Plan: These restricted stock units vest in three annual installments beginning on January 19, 2017 upon H.B. Fuller achieving return on invested capital at least at the threshold level of performance in each year of the three years of vesting. These restricted stock units make up part of the reporting person's fiscal year 2016 long-term incentive plan grant. These restricted stock units expire on January 19, 2019. H.B. Fuller Company 2013 Master Incentive Plan: These restricted stock units vest in three equal annual installments beginning on January 19, 2017, subject to one or more performance measures being achieved. These restricted stock units make up part of the reporting person's fiscal year 2016 long-term incentive plan grant. Amended and Restated Year 2000 Stock Incentive Plan: This option is 100% vested. H.B. Fuller Company 2013 Master Incentive Plan: This option vests in three equal installments beginning on January 22, 2016. Amended and Restated Year 2000 Stock Incentive Plan: This option vests in three equal annual installments beginning on January 23, 2015. Amended and Restated Year 2000 Stock Incentive Plan: This option vests in three equal annual installments beginning on January 24, 2014. H.B. Fuller Company 2013 Master Incentive Plan: These restricted stock units vest in three equal annual installments beginning on January 22, 2016. H.B. Fuller Company 2013 Master Incentive Plan: These restricted units include stock units acquired pursuant to a dividend equivalent reinvestment feature of the H.B. Fuller Company 2013 Master Incentive Plan. H.B. Fuller Company 2013 Master Incentive Plan: These restricted stock units vest in three equal annual installments beginning on January 23, 2015, subject to one or more performance measures being achieved. /s/ Debra L. Hovland, Attorney-in-Fact 2016-01-21