0001225208-19-010317.txt : 20190717
0001225208-19-010317.hdr.sgml : 20190717
20190717175853
ACCESSION NUMBER: 0001225208-19-010317
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190716
FILED AS OF DATE: 20190717
DATE AS OF CHANGE: 20190717
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: FLORNESS DANIEL L
CENTRAL INDEX KEY: 0001017427
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-09225
FILM NUMBER: 19959943
MAIL ADDRESS:
STREET 1: FASTENAL CO
STREET 2: 2001 THEURER BLVD
CITY: WINONA
STATE: MN
ZIP: 55987
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
2019-07-16
0000039368
FULLER H B CO
FUL
0001017427
FLORNESS DANIEL L
1200 WILLOW LAKE BOULEVARD
P.O. BOX 64683
ST. PAUL
MN
55164-0683
1
Stock Units
0.0000
2019-07-16
4
A
0
2389.3600
48.1300
A
Common Stock
2389.3600
5225.2100
D
Restricted Stock Units
0.0000
2021-07-12
2021-07-12
Common Stock
1316.3300
1316.3300
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 restricted stock units convert into shares of common stock on a 1-for-1 basis.
This amount includes restricted stock units acquired pursuant to a dividend equivalent feature of the Directors' Deferred Compensation Plan.
/s/ Timothy J. Keenan, Attorney-in-Fact
2019-07-17