0001225208-19-001356.txt : 20190128
0001225208-19-001356.hdr.sgml : 20190128
20190128162445
ACCESSION NUMBER: 0001225208-19-001356
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190124
FILED AS OF DATE: 20190128
DATE AS OF CHANGE: 20190128
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Kivits Patrick M.
CENTRAL INDEX KEY: 0001653265
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-09225
FILM NUMBER: 19545739
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: 1201
BUSINESS ADDRESS:
STREET 1: 1200 WILLOW LAKE BLVD
CITY: ST PAUL
STATE: MN
ZIP: 55110-5132
BUSINESS PHONE: 6126453401
MAIL ADDRESS:
STREET 1: 1200 WILLOW LAKE BLVD
CITY: ST PAUL
STATE: MN
ZIP: 55110-5132
4
1
doc4.xml
X0306
4
2019-01-24
0000039368
FULLER H B CO
FUL
0001653265
Kivits Patrick M.
1200 WILLOW LAKE BOULEVARD
P.O. BOX 64683
ST. PAUL
MN
55164-0683
1
Senior VP, EIMEA
Common Stock
3416.0000
D
Employee Stock Option (Right-to-Buy)
45.0500
2019-01-24
4
A
0
19230.0000
45.0500
A
2020-01-24
2029-01-24
Common Stock
19230.0000
19230.0000
D
Performance Stock Units
0.0000
2019-01-24
4
A
0
2063.0000
0.0000
A
2020-01-24
2022-01-24
Common Stock
2063.0000
2063.0000
D
Restricted Stock Units
0.0000
2019-01-24
4
A
0
1086.0000
0.0000
A
2020-01-24
2020-01-24
Common Stock
1086.0000
1086.0000
D
Restricted Stock Units
0.0000
2019-01-24
4
A
0
2063.0000
0.0000
A
2020-01-24
2022-01-24
Common Stock
2063.0000
2063.0000
D
Employee Stock Option (Right-to-Buy)
33.3800
2017-01-19
2026-01-19
Common Stock
22374.0000
22374.0000
D
Employee Stock Option (Right-to-Buy)
34.4300
2016-10-01
2025-10-01
Common Stock
7207.0000
7207.0000
D
Employee Stock Option (Right-to-Buy)
50.1000
2018-01-26
2027-01-26
Common Stock
17772.0000
17772.0000
D
Employee Stock Option (Right-to-Buy)
53.5700
2019-01-25
2028-01-25
Common Stock
16375.0000
16375.0000
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
1745.7400
1745.7400
D
Performance Stock Units
0.0000
2018-01-26
2020-01-26
Common Stock
1307.2000
1307.2000
D
Restricted Stock Units
0.0000
2019-01-25
2021-01-25
Common Stock
1745.7400
1745.7400
D
Restricted Stock Units
0.0000
2018-01-26
2020-01-26
Common Stock
2950.9900
2950.9900
D
This option vests in three equal annual installments beginning on the date shown.
These performance stock units convert into shares of common stock on a 1-for-1 basis.
Each performance stock unit represents a contingent right to receive one share of H.B. Fuller common stock. Prior to vesting, the number of units subject to the award will be adjusted based on the company's return on invested capital performance for the applicable year. The number of units may increase to as much as 200% or decrease as low as 0% of the initial number of units depending on the level of ROIC performance. The grant amount is shown at a target level of performance.
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.
These restricted stock units convert into shares of common stock on a 1-for-1 basis.
These restricted stock units vest in one annual installment on the date shown.
These restricted stock units vest in three equal annual installments beginning on the date shown.
This option is 100% vested.
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.
Amount includes restricted stock units acquired pursuant to a dividend equivalent reinvestment feature.
/s/ Timothy J. Keenan, Attorney-in-Fact
2019-01-28