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