0001225208-16-040493.txt : 20161014 0001225208-16-040493.hdr.sgml : 20161014 20161014151234 ACCESSION NUMBER: 0001225208-16-040493 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161012 FILED AS OF DATE: 20161014 DATE AS OF CHANGE: 20161014 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: Crail Dietrich J. CENTRAL INDEX KEY: 0001683260 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09225 FILM NUMBER: 161936969 MAIL ADDRESS: STREET 1: 1200 WILLOW LAKE BLVD. STREET 2: P.O. BOX 64683 CITY: ST. PAUL STATE: MN ZIP: 55110 4 1 doc4.xml X0306 4 2016-10-12 0000039368 FULLER H B CO FUL 0001683260 Crail Dietrich J. 1200 WILLOW LAKE BOULEVARD P.O. BOX 64683 ST. PAUL MN 55164-0683 1 Vice President, Asia Pacific Employee Stock Option (Right-to-Buy) 44.8200 2016-10-12 4 A 0 5251.0000 44.8200 A 2017-10-12 2026-10-12 Common Stock 5251.0000 5251.0000 D Performance Stock Units 0.0000 2016-10-12 4 A 0 600.0000 0.0000 A 2017-10-12 2019-10-12 Common Stock 600.0000 600.0000 D Restricted Stock Units 0.0000 2016-10-12 4 A 0 601.0000 0.0000 A 2017-10-12 2019-10-12 Common Stock 601.0000 601.0000 D H.B. Fuller Company 2016 Master Incentive Plan: This option vests in three equal annual installments beginning on the date shown above. This option makes up part of the reporting person's fiscal year 2016 long-term incentive plan grant. H.B. Fuller Company 2016 Master Incentive Plan: These performance stock units convert into shares of common stock on a 1-for-1 basis. H.B. Fuller Company 2016 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 2016 Master Incentive Plan: These performance stock units vest in three annual installments beginning on the date shown 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 performance stock units make up part of the reporting person's fiscal year 2016 long-term incentive plan grant. H.B. Fuller Company 2016 Master Incentive Plan: These restricted stock units convert into shares of common stock on a 1-for-1 basis. H.B. Fuller Company 2016 Master Incentive Plan: These restricted stock units vest in three equal annual installments beginning on the date shown above. These restricted stock units make up part of the reporting person's fiscal year 2016 long-term incentive plan grant. /s/ Debra L. Hovland, Attorney-in-Fact 2016-10-14