0001225208-16-035971.txt : 20160705 0001225208-16-035971.hdr.sgml : 20160705 20160705094839 ACCESSION NUMBER: 0001225208-16-035971 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160630 FILED AS OF DATE: 20160705 DATE AS OF CHANGE: 20160705 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: LOSH J MICHAEL CENTRAL INDEX KEY: 0001199190 FISCAL YEAR END: 1130 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09225 FILM NUMBER: 161748445 MAIL ADDRESS: STREET 1: H.B. FULLER COMPANY STREET 2: P.O. BOX 64683 CITY: ST. PAUL STATE: MN ZIP: 55164-0683 4 1 doc4.xml X0306 4 2016-06-30 0000039368 FULLER H B CO FUL 0001199190 LOSH J MICHAEL 1200 WILLOW LAKE BOULEVARD P.O. BOX 64683 ST. PAUL MN 55164-0683 1 Common Stock 3597.0000 D Stock Units 0.0000 2016-06-30 4 A 0 2273.2400 43.9900 A Common Stock 2273.2400 71982.4700 D Stock Units 0.0000 1988-08-08 Common Stock 19309.8900 19309.8900 D Deferred Compensation Plan: These units (acquired after 12-31-04) convert into shares of common stock on a 1-for-1 basis. Directors' Deferred Compensation Plan: These units (acquired after 12-31-04) will be converted into shares of common stock upon retirement, death, disability or certain specified events, all as defined in such plan, subject to holding periods required by law. Directors' Deferred Compensation Plan Dividend Reinvestment: This amount (acquired after 12-31-04) includes stock units acquired pursuant to a dividend equivalent feature of the Directors' Deferred Compensation Plan. Deferred Compensation Plan: These units convert into shares of common stock on a 1-for-1 basis. Directors' Deferred Compensation Plan: These units will be converted into shares of common stock upon retirement, death, disability or certain specified events, all as defined in such plan. Directors' Deferred Compensation Plan Dividend Reinvestment: This amount includes stock units acquired pursuant to a dividend equivalent feature of the Directors' Deferred Compensation Plan. /s/ Timothy J. Keenan, Attorney-in-Fact 2016-07-05