0001225208-17-015845.txt : 20171003 0001225208-17-015845.hdr.sgml : 20171003 20171003185243 ACCESSION NUMBER: 0001225208-17-015845 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171001 FILED AS OF DATE: 20171003 DATE AS OF CHANGE: 20171003 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Cai Zhiwei CENTRAL INDEX KEY: 0001666560 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09225 FILM NUMBER: 171119863 MAIL ADDRESS: STREET 1: 1200 WILLOW LAKE BLVD. STREET 2: P.O. BOX 64683 CITY: ST. PAUL STATE: MN ZIP: 55110 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 4 1 doc4.xml X0306 4 2017-10-01 0000039368 FULLER H B CO FUL 0001666560 Cai Zhiwei 1200 WILLOW LAKE BOULEVARD P.O. BOX 64683 ST. PAUL MN 55164-0683 1 Sr. VP, Engineering Adhesives Common Stock 2017-10-01 4 M 0 173.0000 58.0600 A 2958.0000 D Common Stock 2017-10-01 4 F 0 66.0000 58.0600 D 2892.0000 D Restricted Stock Units 0.0000 2017-10-01 4 M 0 173.0000 58.0600 D 2017-10-01 Common Stock 173.0000 0.0000 D Employee Stock Option (Right-to-Buy) 33.3800 2026-01-19 Common Stock 9546.0000 9546.0000 D Employee Stock Option (Right-to-Buy) 36.0000 2026-02-12 Common Stock 6649.0000 6649.0000 D Employee Stock Option (Right-to-Buy) 39.3300 2024-10-01 Common Stock 1669.0000 1669.0000 D Employee Stock Option (Right-to-Buy) 39.6400 2023-01-24 Common Stock 2806.0000 2806.0000 D Employee Stock Option (Right-to-Buy) 41.0000 2025-01-22 Common Stock 7292.0000 7292.0000 D Employee Stock Option (Right-to-Buy) 41.8000 2025-02-02 Common Stock 27726.0000 27726.0000 D Employee Stock Option (Right-to-Buy) 48.9200 2024-01-23 Common Stock 2746.0000 2746.0000 D Employee Stock Option (Right-to-Buy) 50.1000 2018-01-26 2027-01-26 Common Stock 13033.0000 13033.0000 D Performance Stock Units 0.0000 2017-01-19 2019-01-19 Common Stock 748.3600 748.3600 D Performance Stock Units 0.0000 2018-01-26 2020-01-26 Common Stock 1409.1100 1409.1100 D Performance Stock Units 0.0000 2017-02-12 2019-02-12 Common Stock 520.0100 520.0100 D Phantom Units 0.0000 Common Stock 661.9300 661.9300 D Restricted Stock Units 0.0000 2019-01-19 Common Stock 748.3500 748.3500 D Restricted Stock Units 0.0000 2018-01-22 Common Stock 663.0100 663.0100 D Restricted Stock Units 0.0000 2019-02-12 Common Stock 520.1800 520.1800 D Restricted Stock Units 0.0000 2020-02-12 Common Stock 20169.0300 20169.0300 D Restricted Stock Units 0.0000 2018-01-26 2020-01-26 Common Stock 3579.7800 3579.7800 D Shares withheld for taxes due on 173 shares issued. These restricted stock units convert into shares of common stock on a 1-for-1 basis. These restricted stock units vest in three equal annual installments beginning on October 1, 2015. This option vests in three equal installments beginning on January 19, 2017. This option vests in three equal installments beginning on February 12, 2017. This option vests in three equal annual installments beginning on October 1, 2015. This option is 100% vested. This option vests in three equal annual installments beginning on January 22, 2016. This option vests in two equal annual installments beginning on February 2, 2018 upon the achievement of certain gross margin targets being met. This option vests in three equal installments beginning on the date shown. These performance stock units convert into shares of common stock on a 1-for-1 basis. 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. 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. Amount includes performance stock units acquired pursuant to a dividend equivalent reinvestment feature. These units (acquired after 12-31-04) convert into shares of common stock on a 1-for-1 basis. These units (acquired after 12-31-04) convert into shares of common stock upon the earlier of certain termination events as specified in the Key Employee DeferredCompensation Plan or such earlier date as selected by the participant, subject to holding periods required by law. Amount includes stock units acquired pursuant to a dividend equivalent feature. These restricted stock units vest in three equal annual installments beginning on January 19, 2017. Amount includes restricted stock units acquired pursuant to a dividend equivalent reinvestment feature. These restricted stock units vest in three equal annual installments beginning on January 22, 2016. These restricted stock units vest in three equal annual installments beginning on February 12, 2017. These restricted stock units vest in three annual installments beginning on February 12, 2018. These restricted stock units vest in three equal annual installments beginning on the date shown. /s/ Timothy J. Keenan, Attorney-in-Fact 2017-10-03