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