0001225208-18-016111.txt : 20181204
0001225208-18-016111.hdr.sgml : 20181204
20181204082245
ACCESSION NUMBER: 0001225208-18-016111
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20181130
FILED AS OF DATE: 20181204
DATE AS OF CHANGE: 20181204
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: VAN SANT R WILLIAM
CENTRAL INDEX KEY: 0001219030
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-09225
FILM NUMBER: 181215436
MAIL ADDRESS:
STREET 1: PO 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
2018-11-30
0000039368
FULLER H B CO
FUL
0001219030
VAN SANT R WILLIAM
1200 WILLOW LAKE BOULEVARD
P.O. BOX 64683
ST. PAUL
MN
55164-0683
1
Common Stock
17665.0000
D
Stock Units
0.0000
2018-11-30
4
A
0
769.5900
48.2400
A
Common Stock
769.5900
91976.2100
D
Stock Units
0.0000
1988-08-08
Common Stock
8758.9300
8758.9300
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
2018-12-04