0001225208-17-015846.txt : 20171003
0001225208-17-015846.hdr.sgml : 20171003
20171003185247
ACCESSION NUMBER: 0001225208-17-015846
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: Kivits Patrick M.
CENTRAL INDEX KEY: 0001653265
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-09225
FILM NUMBER: 171119865
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
0001653265
Kivits Patrick M.
1200 WILLOW LAKE BOULEVARD
P.O. BOX 64683
ST. PAUL
MN
55164-0683
1
Senior VP, EIMEA
Common Stock
2017-10-01
4
M
0
622.0000
58.0600
A
667.0000
D
Common Stock
2017-10-01
4
F
0
324.0000
58.0600
D
343.0000
D
Restricted Stock Units
0.0000
2017-10-01
4
M
0
622.0000
58.0600
D
2018-10-01
Common Stock
622.0000
642.8600
D
Employee Stock Option (Right-to-Buy)
33.3800
2026-01-19
Common Stock
22374.0000
22374.0000
D
Employee Stock Option (Right-to-Buy)
34.4300
2025-10-01
Common Stock
7207.0000
7207.0000
D
Employee Stock Option (Right-to-Buy)
50.1000
2018-01-26
2027-01-26
Common Stock
17772.0000
17772.0000
D
Performance Stock Units
0.0000
2017-01-19
2019-01-19
Common Stock
1751.6900
1751.6900
D
Performance Stock Units
0.0000
2018-01-26
2020-01-26
Common Stock
1921.5200
1921.5200
D
Restricted Stock Units
0.0000
2019-01-19
Common Stock
1752.6900
1752.6900
D
Restricted Stock Units
0.0000
2018-01-26
2020-01-26
Common Stock
4339.3100
4339.3100
D
Shares withheld for taxes due on 622 shares issued.
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 October 1, 2016.
H.B. Fuller Company 2013 Master Incentive Plan: These restricted 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: 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 October 1, 2016.
H.B. Fuller Company 2016 Master Incentive Plan: This option vests in three equal installments beginning on the date shown.
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 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: 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.
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 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.
/s/ Timothy J. Keenan, Attorney-in-Fact
2017-10-03