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