0001225208-19-009299.txt : 20190617 0001225208-19-009299.hdr.sgml : 20190617 20190617141634 ACCESSION NUMBER: 0001225208-19-009299 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190614 FILED AS OF DATE: 20190617 DATE AS OF CHANGE: 20190617 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Cai Zhiwei CENTRAL INDEX KEY: 0001666560 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09225 FILM NUMBER: 19901087 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: 1130 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 2019-06-14 0000039368 FULLER H B CO FUL 0001666560 Cai Zhiwei 1200 WILLOW LAKE BOULEVARD P.O. BOX 64683 ST. PAUL MN 55164-0683 1 Sr. VP, Engineering Adhesives Common Stock 13378.0000 D Phantom Units 0.0000 2019-06-14 4 A 0 6.7700 43.6300 A Common Stock 6.7700 1959.3800 D Employee Stock Option (Right-to-Buy) 33.3800 2017-01-19 2026-01-19 Common Stock 9546.0000 9546.0000 D Employee Stock Option (Right-to-Buy) 36.0000 2017-02-12 2026-02-12 Common Stock 6649.0000 6649.0000 D Employee Stock Option (Right-to-Buy) 39.3300 2015-10-01 2024-10-01 Common Stock 1669.0000 1669.0000 D Employee Stock Option (Right-to-Buy) 39.6400 2014-01-24 2023-01-24 Common Stock 2806.0000 2806.0000 D Employee Stock Option (Right-to-Buy) 41.0000 2016-01-22 2025-01-22 Common Stock 7292.0000 7292.0000 D Employee Stock Option (Right-to-Buy) 41.8000 2018-02-02 2025-02-02 Common Stock 27726.0000 27726.0000 D Employee Stock Option (Right-to-Buy) 45.0500 2020-01-24 2029-01-24 Common Stock 27472.0000 27472.0000 D Employee Stock Option (Right-to-Buy) 48.9200 2015-01-23 2024-01-23 Common Stock 2746.0000 2746.0000 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 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 2020-01-24 2022-01-24 Common Stock 2965.9700 2965.9700 D Performance Stock Units 0.0000 2019-01-25 2021-01-25 Common Stock 1183.4600 1183.4600 D Performance Stock Units 0.0000 2018-01-26 2020-01-26 Common Stock 494.3900 494.3900 D Restricted Stock Units 0.0000 2020-01-24 2020-01-24 Common Stock 795.0900 795.0900 D Restricted Stock Units 0.0000 2020-01-24 2022-01-24 Common Stock 2965.9700 2965.9700 D Restricted Stock Units 0.0000 2019-01-25 2021-01-25 Common Stock 1173.1000 1173.1000 D Restricted Stock Units 0.0000 2018-01-26 2020-01-26 Common Stock 1244.2400 1244.2400 D Restricted Stock Units 0.0000 2018-02-12 2020-02-12 Common Stock 11550.6100 11550.6100 D These units (acquired after 12-31-04) convert into shares of common stock on a 1-for-1 basis. These units (acquired after 12-31-04) convert into shares of common stock upon the earlier of certain termination events as specified in the Key Employee Deferred Compensation Plan or such earlier date as selected by the participant, subject to holding periods required by law. Amount includes stock units acquired pursuant to a dividend equivalent 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. 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. Amount 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 one annual installment on the date shown. Amount includes restricted stock units acquired pursuant to a dividend equivalent reinvestment feature. These restricted stock units vest in three equal annual installments beginning on the date shown. /s/ Debra L. Hovland, Attorney-in-Fact 2019-06-17