0001225208-18-001977.txt : 20180201 0001225208-18-001977.hdr.sgml : 20180201 20180201144412 ACCESSION NUMBER: 0001225208-18-001977 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180131 FILED AS OF DATE: 20180201 DATE AS OF CHANGE: 20180201 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Cooney Paula M. CENTRAL INDEX KEY: 0001670565 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09225 FILM NUMBER: 18566454 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 2018-01-31 0000039368 FULLER H B CO FUL 0001670565 Cooney Paula M. 1200 WILLOW LAKE BOULEVARD P.O. BOX 64683 ST. PAUL MN 55164-0683 1 VP, Human Resources Common Stock 7780.0000 D Phantom Units 0.0000 2018-01-31 4 A 0 760.6800 0.0000 A Common Stock 760.6800 760.6800 D Employee Stock Option (Right-to-Buy) 22.2700 2012-01-20 2021-01-20 Common Stock 6524.0000 6524.0000 D Employee Stock Option (Right-to-Buy) 23.6800 2011-04-14 2020-04-14 Common Stock 3647.0000 3647.0000 D Employee Stock Option (Right-to-Buy) 28.4000 2013-01-26 2022-01-26 Common Stock 5451.0000 5451.0000 D Employee Stock Option (Right-to-Buy) 33.3800 2017-01-19 2026-01-19 Common Stock 6264.0000 6264.0000 D Employee Stock Option (Right-to-Buy) 39.6400 2014-01-24 2023-01-24 Common Stock 4126.0000 4126.0000 D Employee Stock Option (Right-to-Buy) 41.0000 2016-01-22 2025-01-22 Common Stock 4785.0000 4785.0000 D Employee Stock Option (Right-to-Buy) 43.1600 2017-04-06 2026-04-06 Common Stock 7706.0000 7706.0000 D Employee Stock Option (Right-to-Buy) 48.9200 2015-01-23 2024-01-23 Common Stock 4194.0000 4194.0000 D Employee Stock Option (Right-to-Buy) 50.1000 2018-01-26 2027-01-26 Common Stock 13033.0000 13033.0000 D Employee Stock Option (Right-to-Buy) 50.1600 2016-12-04 2023-12-04 Common Stock 4010.0000 4010.0000 D Employee Stock Option (Right-to-Buy) 53.5700 2019-01-25 2028-01-25 Common Stock 12008.0000 12008.0000 D Performance Stock Option (Right-to-Buy) 57.7000 2021-01-31 2027-10-20 Common Stock 34403.0000 34403.0000 D Performance Stock Units 0.0000 2017-01-19 2019-01-19 Common Stock 248.6600 248.6600 D Performance Stock Units 0.0000 2019-01-25 2021-01-25 Common Stock 1268.0000 1268.0000 D Performance Stock Units 0.0000 2018-01-26 2020-01-26 Common Stock 946.8400 946.8400 D Performance Stock Units 0.0000 2017-04-06 2019-04-06 Common Stock 606.7200 606.7200 D Restricted Stock Units 0.0000 2017-01-19 2019-01-19 Common Stock 250.6700 250.6700 D Restricted Stock Units 0.0000 2019-01-25 2021-01-25 Common Stock 1269.0000 1269.0000 D Restricted Stock Units 0.0000 2018-01-26 2020-01-26 Common Stock 1865.2200 1865.2200 D Restricted Stock Units 0.0000 2017-04-06 2019-04-06 Common Stock 606.7200 606.7200 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. This option is 100% vested. This option vests in three equal annual installments beginning on the date shown. 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. 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. 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 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/ Timothy J. Keenan, Attorney-in-Fact 2018-02-01