0001225208-17-001494.txt : 20170123 0001225208-17-001494.hdr.sgml : 20170123 20170123192525 ACCESSION NUMBER: 0001225208-17-001494 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170119 FILED AS OF DATE: 20170123 DATE AS OF CHANGE: 20170123 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: Cooney Paula M. CENTRAL INDEX KEY: 0001670565 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09225 FILM NUMBER: 17542281 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 2017-01-19 0000039368 FULLER H B CO FUL 0001670565 Cooney Paula M. 1200 WILLOW LAKE BOULEVARD P.O. BOX 64683 ST. PAUL MN 55164-0683 1 VP, Human Resources Common Stock 2017-01-19 4 M 0 303.0000 47.9700 A 6102.0000 D Common Stock 2017-01-19 4 M 0 239.0000 47.9700 A 6341.0000 D Common Stock 2017-01-19 4 F 0 94.0000 47.9700 D 6247.0000 D Common Stock 2017-01-19 4 F 0 119.0000 47.9700 D 6128.0000 D Performance Stock Units 0.0000 2017-01-19 4 M 0 303.0000 47.9700 D 2017-01-19 2019-01-19 Common Stock 303.0000 486.1300 D Restricted Stock Units 0.0000 2017-01-19 4 M 0 239.0000 47.9700 D 2019-01-19 Common Stock 239.0000 487.1400 D Employee Stock Option (Right-to-Buy) 22.2700 2021-01-20 Common Stock 6524.0000 6524.0000 D Employee Stock Option (Right-to-Buy) 23.6800 2020-04-14 Common Stock 3647.0000 3647.0000 D Employee Stock Option (Right-to-Buy) 28.4000 2022-01-26 Common Stock 5451.0000 5451.0000 D Employee Stock Option (Right-to-Buy) 33.3800 2026-01-19 Common Stock 6264.0000 6264.0000 D Employee Stock Option (Right-to-Buy) 39.6400 2023-01-24 Common Stock 4126.0000 4126.0000 D Employee Stock Option (Right-to-Buy) 41.0000 2025-01-22 Common Stock 4785.0000 4785.0000 D Employee Stock Option (Right-to-Buy) 43.1600 2026-04-06 Common Stock 7706.0000 7706.0000 D Employee Stock Option (Right-to-Buy) 48.9200 2024-01-23 Common Stock 4194.0000 4194.0000 D Employee Stock Option (Right-to-Buy) 50.1600 2016-12-04 2023-12-04 Common Stock 4010.0000 4010.0000 D Performance Stock Units 0.0000 2017-04-06 2019-04-06 Common Stock 889.1300 889.1300 D Restricted Stock Units 0.0000 2018-01-22 Common Stock 839.8300 839.8300 D Restricted Stock Units 0.0000 2017-01-23 Common Stock 435.6200 435.6200 D Restricted Stock Units 0.0000 2019-04-06 Common Stock 889.1300 889.1300 D Shares withheld for taxes due on 239 shares issued pursuant to the H.B. Fuller Company 2013 Master Stock Incentive Plan. Shares withheld for taxes due on 303 shares issued pursuant to the H.B. Fuller Company 2013 Master Stock Incentive Plan. H.B. Fuller Company 2013 Master Incentive Plan: These performance stock units convert into shares of common stock on a 1-for-1 basis. This amount reflects a 127.5% payout based on the performance criteria achieved. H.B. Fuller Company 2013 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 2013 Master Incentive Plan: This amount has been adjusted to reflect the increase in number of performance stock units of the original grant based on performance criteria. Amount also includes performance 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 convert into shares of common stock on a 1-for-1 basis. H.B. Fuller Company 2013 Master Incentive Plan: These restricted stock units vest in three equal annual installments beginning on January 19, 2017. These restricted stock units make 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 units include stock units acquired pursuant to a dividend equivalent reinvestment feature of H.B. Fuller Company 2013 Master Incentive Plan. 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 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: This option vests in three equal annual installments beginning on January 22, 2016. H.B. Fuller Company 2013 Master Incentive Plan: This option vests in three equal installments beginning on April 6, 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: This option vests in three equal annual installments beginning on January 23, 2015. H.B. Fuller Company 2013 Master Incentive Plan: These performance stock 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 22, 2016. H.B. Fuller Company 2013 Master Incentive Plan: These restricted stock units vest in three equal annual installments beginning on January 23, 2015. H.B. Fuller Company 2013 Master Incentive Plan: These restricted stock units vest in three equal annual installments beginning on April 6, 2017. These restricted stock units make up part of the reporting person's fiscal year 2016 long-term incentive plan grant. /s/ Timothy J. Keenan, Attorney-in-Fact 2017-01-23