0001225208-18-005968.txt : 20180313 0001225208-18-005968.hdr.sgml : 20180313 20180313132040 ACCESSION NUMBER: 0001225208-18-005968 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180309 FILED AS OF DATE: 20180313 DATE AS OF CHANGE: 20180313 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Moorman David W. CENTRAL INDEX KEY: 0001699240 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09225 FILM NUMBER: 18685903 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 2018-03-09 0000039368 FULLER H B CO FUL 0001699240 Moorman David W. 1200 WILLOW LAKE BOULEVARD P.O. BOX 64683 ST. PAUL MN 55164-0683 1 VP, Operations Excellence Common Stock 1273.0000 D Common Stock 1233.5900 I By 401(k) Plan Phantom Units 0.0000 2018-03-09 4 A 0 11.0700 54.6500 A Common Stock 11.0700 56.8700 D Employee Stock Option (Right-to-Buy) 28.4000 2013-01-26 2022-01-26 Common Stock 3894.0000 3894.0000 D Employee Stock Option (Right-to-Buy) 33.3800 2017-01-19 2026-01-19 Common Stock 6891.0000 6891.0000 D Employee Stock Option (Right-to-Buy) 38.3100 2016-04-10 2023-04-10 Common Stock 1257.0000 1257.0000 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 3760.0000 3760.0000 D Employee Stock Option (Right-to-Buy) 48.9200 2015-01-23 2024-01-23 Common Stock 2496.0000 2496.0000 D Employee Stock Option (Right-to-Buy) 50.1000 2018-01-26 2027-01-26 Common Stock 9918.0000 9918.0000 D Employee Stock Option (Right-to-Buy) 53.5700 2019-01-25 2028-01-25 Common Stock 9606.0000 9606.0000 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 273.8000 273.8000 D Performance Stock Units 0.0000 2019-01-25 2021-01-25 Common Stock 1015.0000 1015.0000 D Performance Stock Units 0.0000 2018-01-26 2020-01-26 Common Stock 721.0600 721.0600 D Restricted Stock Units 0.0000 2017-01-19 2019-01-19 Common Stock 274.8000 274.8000 D Restricted Stock Units 0.0000 2019-01-25 2021-01-25 Common Stock 1015.0000 1015.0000 D Restricted Stock Units 0.0000 2018-01-26 2020-01-26 Common Stock 1282.4600 1282.4600 D Amount includes shares and dividends acquired pursuant to the H.B.Fuller Company 401(k) & Retirement Plan. 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 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 2018-03-13