0001225208-18-014613.txt : 20181016 0001225208-18-014613.hdr.sgml : 20181016 20181016134909 ACCESSION NUMBER: 0001225208-18-014613 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181012 FILED AS OF DATE: 20181016 DATE AS OF CHANGE: 20181016 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Rezai Ebrahim CENTRAL INDEX KEY: 0001686959 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09225 FILM NUMBER: 181124161 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 2018-10-12 0000039368 FULLER H B CO FUL 0001686959 Rezai Ebrahim 1200 WILLOW LAKE BOULEVARD P.O. BOX 64683 ST. PAUL MN 55164-0683 1 VP, Chief Tech. & Innovation Common Stock 2018-10-12 4 M 0 171.0000 45.5000 A 1105.0000 D Common Stock 2018-10-12 4 M 0 146.0000 45.5000 A 1251.0000 D Common Stock 2018-10-12 4 F 0 45.0000 45.5000 D 1206.0000 D Common Stock 2018-10-12 4 F 0 53.0000 45.5000 D 1153.0000 D Performance Stock Units 0.0000 2018-10-12 4 M 0 171.0000 45.5000 D 2017-10-12 2019-10-12 Common Stock 171.0000 150.3900 D Restricted Stock Units 0.0000 2018-10-12 4 M 0 146.0000 45.5000 D 2017-10-12 2019-10-12 Common Stock 146.0000 152.4200 D Employee Stock Option (Right-to-Buy) 44.8200 2017-10-12 2026-10-12 Common Stock 3781.0000 3781.0000 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 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 2019-01-25 2021-01-25 Common Stock 1275.2100 1275.2100 D Performance Stock Units 0.0000 2018-01-26 2020-01-26 Common Stock 955.0300 955.0300 D Restricted Stock Units 0.0000 2019-01-25 2028-01-25 Common Stock 1276.2200 1276.2200 D Restricted Stock Units 0.0000 2018-01-26 2020-01-26 Common Stock 1100.6800 1100.6800 D Shares withheld for taxes due on 146 shares issued. Shares withheld for taxes due on 171 shares issued. 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. This option vests in three equal annual installments beginning on the date shown above. 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. Amount 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. /s/ Timothy J. Keenan, Attorney-in-Fact 2018-10-16