0001225208-17-018854.txt : 20171219
0001225208-17-018854.hdr.sgml : 20171219
20171219132008
ACCESSION NUMBER: 0001225208-17-018854
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171215
FILED AS OF DATE: 20171219
DATE AS OF CHANGE: 20171219
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: 171263495
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
2017-12-15
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
2892.0000
D
Phantom Units
0.0000
2017-12-15
4
A
0
4.5500
53.6500
A
Common Stock
4.5500
694.5000
D
Employee Stock Option (Right-to-Buy)
33.3800
2017-01-19
2026-01-19
Common Stock
9546.0000
9546.0000
D
Employee Stock Option (Right-to-Buy)
36.0000
2017-02-12
2026-02-12
Common Stock
6649.0000
6649.0000
D
Employee Stock Option (Right-to-Buy)
39.3300
2015-10-01
2024-10-01
Common Stock
1669.0000
1669.0000
D
Employee Stock Option (Right-to-Buy)
39.6400
2014-01-24
2023-01-24
Common Stock
2806.0000
2806.0000
D
Employee Stock Option (Right-to-Buy)
41.0000
2016-01-22
2025-01-22
Common Stock
7292.0000
7292.0000
D
Employee Stock Option (Right-to-Buy)
41.8000
2018-02-02
2025-02-02
Common Stock
27726.0000
27726.0000
D
Employee Stock Option (Right-to-Buy)
48.9200
2015-01-23
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 Option (Right-to-Buy)
57.7000
2021-01-31
2027-10-20
Common Stock
62552.0000
62552.0000
D
Performance Stock Units
0.0000
2017-01-19
2019-01-19
Common Stock
750.3400
750.3400
D
Performance Stock Units
0.0000
2018-01-26
2020-01-26
Common Stock
1412.8400
1412.8400
D
Performance Stock Units
0.0000
2017-02-12
2019-02-12
Common Stock
521.3900
521.3900
D
Restricted Stock Units
0.0000
2017-01-19
2019-01-19
Common Stock
750.3300
750.3300
D
Restricted Stock Units
0.0000
2016-01-22
2018-01-22
Common Stock
664.7500
664.7500
D
Restricted Stock Units
0.0000
2018-01-26
2020-01-26
Common Stock
3589.2600
3589.2600
D
Restricted Stock Units
0.0000
2017-02-12
2019-02-12
Common Stock
521.5500
521.5500
D
Restricted Stock Units
0.0000
2018-02-12
2020-02-12
Common Stock
20222.4400
20222.4400
D
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.
This option vests in three equal annual installments beginning on the date shown.
This option is 100% vested.
This option vests in two equal annual installments beginning on the date shown upon the achievement of certain gross margin targets being met.
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.
Each performance-based non-qualified stock option represents a contingent right and option to purchase all or any part of an aggregate of 65,552 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 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 the date shown.
Amount includes restricted stock units acquired pursuant to a dividend equivalent reinvestment feature.
/s/ Debra L. Hovland, Attorney-in-Fact
2017-12-19