0001225208-18-013054.txt : 20180904
0001225208-18-013054.hdr.sgml : 20180904
20180904162717
ACCESSION NUMBER: 0001225208-18-013054
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180831
FILED AS OF DATE: 20180904
DATE AS OF CHANGE: 20180904
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MITAU LEE R
CENTRAL INDEX KEY: 0001185489
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-09225
FILM NUMBER: 181052662
MAIL ADDRESS:
STREET 1: P O BOX 1441
CITY: MINNEAPOLIS
STATE: MN
ZIP: 55440-1441
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
2018-08-31
0000039368
FULLER H B CO
FUL
0001185489
MITAU LEE R
1200 WILLOW LAKE BOULEVARD
P.O. BOX 64683
ST. PAUL
MN
55164-0683
1
Common Stock
42672.7400
D
Common Stock
100.0000
I
By Daughter
Stock Units
0.0000
2018-08-31
4
A
0
829.9700
56.9900
A
Common Stock
829.9700
112639.4600
D
Stock Units
0.0000
1988-08-08
Common Stock
46909.0600
46909.0600
D
These units convert into shares of common stock on a 1-for-1 basis.
These units will be converted into shares of common stock upon retirement, death, disability or certain specified events, all as defined in such plan, subject to holding periods required by law.
This amount includes stock units acquired pursuant to a dividend equivalent feature of the Directors' Deferred Compensation Plan.
These units (acquired before 12-31-04) will be converted into shares of common stock upon retirement, death, disability or certain specified events, all as defined in such plan, subject to holding periods required by law.
/s/ Timothy J. Keenan, Attorney-in-Fact
2018-09-04