0001225208-17-001547.txt : 20170124 0001225208-17-001547.hdr.sgml : 20170124 20170124162339 ACCESSION NUMBER: 0001225208-17-001547 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170122 FILED AS OF DATE: 20170124 DATE AS OF CHANGE: 20170124 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: Campe Heather CENTRAL INDEX KEY: 0001609526 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09225 FILM NUMBER: 17543996 MAIL ADDRESS: STREET 1: 1200 WILLOW LAKE BLVD, P.O. BOX 64683 CITY: ST. PAUL STATE: MN ZIP: 55110 4 1 doc4.xml X0306 4 2017-01-22 0000039368 FULLER H B CO FUL 0001609526 Campe Heather 1200 WILLOW LAKE BOULEVARD P.O. BOX 64683 ST. PAUL MN 55164-0683 1 Senior VP, America Adhesives Common Stock 2017-01-22 4 M 0 1083.0000 48.3000 A 6567.0000 D Common Stock 2017-01-22 4 F 0 394.0000 48.3000 D 6173.0000 D Restricted Stock Units 0.0000 2017-01-22 4 M 0 1083.0000 48.3000 D 2018-01-22 Common Stock 1083.0000 1110.1000 D Employee Stock Option (Right-to-Buy) 20.5700 2019-12-03 Common Stock 1446.0000 1446.0000 D Employee Stock Option (Right-to-Buy) 22.2700 2021-01-20 Common Stock 2013.0000 2013.0000 D Employee Stock Option (Right-to-Buy) 28.4000 2022-01-26 Common Stock 1998.0000 1998.0000 D Employee Stock Option (Right-to-Buy) 33.3800 2026-01-19 Common Stock 19689.0000 19689.0000 D Employee Stock Option (Right-to-Buy) 39.6400 2023-01-24 Common Stock 5988.0000 5988.0000 D Employee Stock Option (Right-to-Buy) 41.0000 2025-01-22 Common Stock 12534.0000 12534.0000 D Employee Stock Option (Right-to-Buy) 48.9200 2024-01-23 Common Stock 7323.0000 7323.0000 D Performance Stock Units 0.0000 2017-01-19 2019-01-19 Common Stock 1527.7100 1527.7100 D Restricted Stock Units 0.0000 2019-01-19 Common Stock 1528.7100 1528.7100 D Restricted Stock Units 0.0000 2017-01-23 Common Stock 766.5700 766.5700 D Shares withheld for taxes due on 1,083 shares issued pursuant to the H.B. Fuller Company 2013 Master Stock Incentive Plan. Amended and Restated Year 2000 Stock Incentive Plan: Amount includes 283.75 restricted shares awarded pursuant to H.B. Fuller Company's Amended and Restated Year 2000 Stock Incentive Plan and are 100% vested. Amount also includes restricted shares acquired pursuant to a dividend accrual feature of the Amended and Restated Year 2000 Stock 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 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. 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 annual installments beginning on January 23, 2015. H.B. Fuller Company 2013 Master Incentive Plan: These performance stock units convert into shares of common stock on a 1-for-1 basis. 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 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 stock units vest in three equal annual installments beginning on January 23, 2015. /s/ Timothy J. Keenan, Attorney-in-Fact 2017-01-24