0001225208-20-002902.txt : 20200220 0001225208-20-002902.hdr.sgml : 20200220 20200220105248 ACCESSION NUMBER: 0001225208-20-002902 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200212 FILED AS OF DATE: 20200220 DATE AS OF CHANGE: 20200220 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Cai Zhiwei CENTRAL INDEX KEY: 0001666560 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-09225 FILM NUMBER: 20633072 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/A 1 doc4a.xml X0306 4/A 2020-02-12 2020-02-14 0000039368 FULLER H B CO FUL 0001666560 Cai Zhiwei 1200 WILLOW LAKE BOULEVARD P.O. BOX 64683 ST. PAUL MN 55164-0683 1 Executive Vice President, EA Common Stock 2020-02-12 4 M 0 11667.0000 48.7800 A 28143.0000 D Common Stock 2020-02-12 4 F 0 4036.0000 48.7800 D 24107.0000 D Restricted Stock Units 0.0000 2020-02-12 4 M 0 11667.0000 48.7800 D 2018-02-12 2020-02-12 Common Stock 11667.0000 0.0000 D Shares withheld for taxes due on 11,667 shares issued. 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. This amendment is being filed to correct the originally reported number of securities disposed on Table II, and subsequently acquired on Table I, by the Reporting Person. The amendment also corrects the number of shares withheld for taxes due. /s/ Timothy J. Keenan 2020-02-14