0001225208-17-016021.txt : 20171005 0001225208-17-016021.hdr.sgml : 20171005 20171005130815 ACCESSION NUMBER: 0001225208-17-016021 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171004 FILED AS OF DATE: 20171005 DATE AS OF CHANGE: 20171005 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kimmelshue Ruth CENTRAL INDEX KEY: 0001718217 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09225 FILM NUMBER: 171123944 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 2017-10-04 0000039368 FULLER H B CO FUL 0001718217 Kimmelshue Ruth 1200 WILLOW LAKE BOULEVARD P.O. BOX 64683 ST. PAUL MN 55164-0683 1 Restricted Stock Units 0.0000 2017-10-04 4 A 0 1300.0000 0.0000 A 2020-10-04 2020-10-04 Common Stock 1300.0000 1300.0000 D These restricted stock units convert into shares of common stock on a 1-for-1 basis. /s/ Timothy J. Keenan, Attorney-in-Fact 2017-10-05