0001225208-17-016517.txt : 20171024
0001225208-17-016517.hdr.sgml : 20171024
20171024174511
ACCESSION NUMBER: 0001225208-17-016517
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171020
FILED AS OF DATE: 20171024
DATE AS OF CHANGE: 20171024
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: JENSEN TRACI L
CENTRAL INDEX KEY: 0001533627
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-09225
FILM NUMBER: 171151717
MAIL ADDRESS:
STREET 1: 1200 WILLOW LAKE BOULEVARD
STREET 2: P.O. BOX 64683
CITY: ST. PAUL
STATE: MN
ZIP: 55164-0683
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
2017-10-20
0000039368
FULLER H B CO
FUL
0001533627
JENSEN TRACI L
1200 WILLOW LAKE BOULEVARD
P.O. BOX 64683
ST. PAUL
MN
55164-0683
1
Sr.VP, Global Const Products
Common Stock
14528.0000
D
Performance Stock Option (Right-to-Buy)
57.7000
2017-10-20
4
A
0
62552.0000
57.7000
A
2021-01-31
2027-10-20
Common Stock
62552.0000
62552.0000
D
Employee Stock Option (Right-to-Buy)
22.2700
2021-01-20
Common Stock
12658.0000
12658.0000
D
Employee Stock Option (Right-to-Buy)
23.6800
2020-04-14
Common Stock
6223.0000
6223.0000
D
Employee Stock Option (Right-to-Buy)
33.3800
2026-01-19
Common Stock
29832.0000
29832.0000
D
Employee Stock Option (Right-to-Buy)
41.0000
2025-01-22
Common Stock
22789.0000
22789.0000
D
Employee Stock Option (Right-to-Buy)
48.9200
2024-01-23
Common Stock
16644.0000
16644.0000
D
Employee Stock Option (Right-to-Buy)
50.1000
2018-01-26
2027-01-26
Common Stock
23696.0000
23696.0000
D
Performance Stock Units
0.0000
2017-01-19
2019-01-19
Common Stock
2335.5900
2335.5900
D
Performance Stock Units
0.0000
2018-01-26
2020-01-26
Common Stock
2563.0400
2563.0400
D
Restricted Stock Units
0.0000
2019-01-19
Common Stock
2336.6000
2336.6000
D
Restricted Stock Units
0.0000
2018-01-22
Common Stock
2047.6500
2047.6500
D
Restricted Stock Units
0.0000
2018-01-26
2020-01-26
Common Stock
4296.9500
4296.9500
D
Amount includes 24,398 restricted shares that are 100% vested and restricted shares acquired pursuant to a dividend accrual feature.
Each performance-based non-qualified stock option represents a contingent right and option to purchase all or any part of an aggregate of 62,552 shares of Common Stock at the price of $57.70 per share. Prior to vesting, the number of options subject to the award will be adjusted based on the company's adjusted EBITDA performance for fiscal year 2020. The number of options may decrease to as low as 0% of the initial number of options depending on the level of adjusted EBITDA performance. The grant amount is shown at the superior level of performance.
These performance-based non-qualified stock options vest on the date shown contingent upon H.B. Fuller achieving adjusted EBITDA at least at the threshold level of performance.
This option is 100% vested.
This option vests in three equal annual installments beginning on January 19, 2017.
This option vests in three equal annual installments beginning on January 22, 2016.
This option vests in three equal annual 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 equal 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 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 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 the date shown.
/s/ Timothy J. Keenan, Attorney-in-Fact
2017-10-24