0001225208-18-008798.txt : 20180507 0001225208-18-008798.hdr.sgml : 20180507 20180507153415 ACCESSION NUMBER: 0001225208-18-008798 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180504 FILED AS OF DATE: 20180507 DATE AS OF CHANGE: 20180507 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: 18811028 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 2018-05-04 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 8122.0000 D Phantom Units 0.0000 2018-05-04 4 A 0 5.0900 50.5000 A Common Stock 5.0900 1368.0900 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 Employee Stock Option (Right-to-Buy) 53.5700 2019-01-25 2028-01-25 Common Stock 16375.0000 16375.0000 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 380.4600 380.4600 D Performance Stock Units 0.0000 2019-01-25 2021-01-25 Common Stock 1730.0000 1730.0000 D Performance Stock Units 0.0000 2018-01-26 2020-01-26 Common Stock 949.6300 949.6300 D Performance Stock Units 0.0000 2017-02-12 2019-02-12 Common Stock 267.0500 267.0500 D Restricted Stock Units 0.0000 2017-01-19 2019-01-19 Common Stock 382.4500 382.4500 D Restricted Stock Units 0.0000 2019-01-25 2021-01-25 Common Stock 1730.0000 1730.0000 D Restricted Stock Units 0.0000 2018-01-26 2020-01-26 Common Stock 2412.3400 2412.3400 D Restricted Stock Units 0.0000 2017-02-12 2019-02-12 Common Stock 268.0800 268.0800 D Restricted Stock Units 0.0000 2018-02-12 2020-02-12 Common Stock 15834.0000 15834.0000 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. 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/ Debra L. Hovland, Attorney-in-Fact 2018-05-07