0001225208-19-001121.txt : 20190123
0001225208-19-001121.hdr.sgml : 20190123
20190123142512
ACCESSION NUMBER: 0001225208-19-001121
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190119
FILED AS OF DATE: 20190123
DATE AS OF CHANGE: 20190123
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Campe Heather
CENTRAL INDEX KEY: 0001609526
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-09225
FILM NUMBER: 19537201
MAIL ADDRESS:
STREET 1: 1200 WILLOW LAKE BLVD, 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
2019-01-19
0000039368
FULLER H B CO
FUL
0001609526
Campe Heather
1200 WILLOW LAKE BOULEVARD
P.O. BOX 64683
ST. PAUL
MN
55164-0683
1
Senior VP, America Adhesives
Common Stock
2019-01-19
4
M
0
794.0000
45.5300
A
12056.0000
D
Common Stock
2019-01-19
4
M
0
555.0000
45.5300
A
12611.0000
D
Common Stock
2019-01-19
4
F
0
200.0000
45.5300
D
12411.0000
D
Common Stock
2019-01-19
4
F
0
286.0000
45.5300
D
12125.0000
D
Performance Stock Units
0.0000
2019-01-19
4
M
0
555.0000
45.5300
D
2017-01-19
2019-01-19
Common Stock
555.0000
0.0000
D
Restricted Stock Units
0.0000
2019-01-19
4
M
0
794.0000
45.5300
D
2017-01-19
2019-01-19
Common Stock
794.0000
0.0000
D
Employee Stock Option (Right-to-Buy)
20.5700
2010-12-03
2019-12-03
Common Stock
1446.0000
1446.0000
D
Employee Stock Option (Right-to-Buy)
22.2700
2012-01-20
2021-01-20
Common Stock
2013.0000
2013.0000
D
Employee Stock Option (Right-to-Buy)
28.4000
2013-01-26
2022-01-26
Common Stock
1998.0000
1998.0000
D
Employee Stock Option (Right-to-Buy)
33.3800
2017-01-19
2026-01-19
Common Stock
19689.0000
19689.0000
D
Employee Stock Option (Right-to-Buy)
39.6400
2014-01-24
2023-01-24
Common Stock
5988.0000
5988.0000
D
Employee Stock Option (Right-to-Buy)
41.0000
2016-01-22
2025-01-22
Common Stock
12534.0000
12534.0000
D
Employee Stock Option (Right-to-Buy)
48.9200
2015-01-23
2024-01-23
Common Stock
7323.0000
7323.0000
D
Employee Stock Option (Right-to-Buy)
50.1000
2018-01-26
2027-01-26
Common Stock
23696.0000
23696.0000
D
Employee Stock Option (Right-to-Buy)
53.5700
2019-01-25
2028-01-25
Common Stock
21834.0000
21834.0000
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
2019-01-25
2021-01-25
Common Stock
2327.9700
2327.9700
D
Performance Stock Units
0.0000
2018-01-26
2020-01-26
Common Stock
1743.6200
1743.6200
D
Restricted Stock Units
0.0000
2019-01-25
2028-01-25
Common Stock
2327.9700
2327.9700
D
Restricted Stock Units
0.0000
2018-01-26
2020-01-26
Common Stock
3300.9400
3300.9400
D
Shares withheld for taxes due on 555 shares issued.
Shares withheld for taxes due on 794 shares issued.
These performance stock units convert into shares of common stock on a 1-for-1 basis.
This amount reflects a 70% payout based on the performance criteria achieved.
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 decrease in number of performance stock units of the original grant based on performance criteria.
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 is 100% vested.
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.
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.
/s/ Timothy J. Keenan, Attorney-in-Fact
2019-01-23