SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Kenny Steven

(Last) (First) (Middle)
1200 WILLOW LAKE BOULEVARD
P.O. BOX 64683

(Street)
ST. PAUL MN 55164-0683

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
FULLER H B CO [ FUL ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Senior Vice President, EIMEA
3. Date of Earliest Transaction (Month/Day/Year)
01/23/2015
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 01/23/2015 M 1,632 A $40.66 26,576.11 D
Common Stock 01/23/2015 F 768(1) D $40.66 25,808.11 D
Common Stock 01/24/2015 M 2,402 A $40.66 28,210.11 D
Common Stock 01/24/2015 F 1,129(2) D $40.66 27,081.11(3) D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Restricted Stock Units $0.0000(4) 01/23/2015 M 1,632 (5) 01/23/2017 Common Stock 1,632 $40.66 3,317.54 D
Restricted Stock Units $0.0000(6) 01/24/2015 M 2,402 (7) 01/24/2016 Common Stock 2,402 $40.66 2,477.33(8) D
Employee Stock Option (Right-to-Buy) $22.27 (9) 01/20/2021 Common Stock 28,768 28,768 D
Employee Stock Option (Right-to-Buy) $41 (10) 01/22/2025 Common Stock 22,789 22,789 D
Employee Stock Option (Right-to-Buy) $48.92 (11) 01/23/2024 Common Stock 16,644 16,644 D
Employee Stock Option (Right-to-Buy) $39.64 (12) 01/24/2023 Common Stock 18,712 18,712 D
Employee Stock Option (Right-to-Buy) $28.4 (13) 01/26/2022 Common Stock 25,960 25,960 D
Employee Stock Option (Right-to-Buy) $19.85 (9) 10/01/2019 Common Stock 41,708 41,708 D
Employee Stock Option (Right-to-Buy) $20.2 (9) 10/01/2020 Common Stock 30,557 30,557 D
Employee Stock Option (Right-to-Buy) $20.57 (9) 12/03/2019 Common Stock 28,935 28,935 D
Restricted Stock Units $0.0000(4) (14) 01/22/2018 Common Stock 5,820 5,820 D
Restricted Stock Units $0.0000(6) (15) 01/26/2015 Common Stock 3,685.46 3,685.46(8) D
Explanation of Responses:
1. Shares withheld for taxes due on 1,632 shares issues pursuant to the H.B. Fuller Company 2013 Master Stock Incentive Plan.
2. Shares withheld for taxes due on 2,402 shares issues pursuant to the Amended and Restated Year 2000 Stock Incentive Plan.
3. Amended and Restated Year 2000 Stock Incentive Plan: Total amount includes shares acquired pursuant to a dividend accrual feature of the Amended and Restated Year 2000 Stock Incentive Plan.
4. H.B. Fuller Company 2013 Master Incentive Plan: These restricted stock units convert into shares of common stock on a 1-for-1 basis.
5. H.B. Fuller Company 2013 Master Incentive Plan: These restricted stock units vest in three equal annual installments beginning on January 23, 2015.
6. Amended and Restated Year 2000 Stock Incentive Plan: These restricted stock units convert into shares of common stock on a 1-for-1 basis.
7. Amended and Restated Year 2000 Stock Incentive Plan: These restricted stock units vest in three equal annual installments beginning on January 24, 2014.
8. Amended and Restated Year 2000 Stock Incentive Plan: These restricted units include stock units acquired pursuant to a dividend equivalent reinvestment feature of H.B. Fuller Company's Amended and Restated Year 2000 Stock Incentive Plan.
9. Amended and Restated Year 2000 Stock Incentive Plan: This option is 100% vested.
10. H.B. Fuller Company 2013 Master Incentive Plan: This option vests in three equal annual installments beginning on January 22, 2016.
11. H.B. Fuller Company 2013 Master Incentive Plan: This option vests in three equal annual installments beginning on January 23, 2015.
12. Amended and Restated Year 2000 Stock Incentive Plan: This option vests in three equal annual installments beginning on January 24, 2014.
13. Amended and Restated Year 2000 Stock Incentive Plan: This option vests in three equal annual installments beginning on January 26, 2013.
14. H.B. Fuller Company 2013 Master Incentive Plan: These restricted stock units vest in three equal annual installments beginning on January 22, 2016.
15. Amended and Restated Year 2000 Stock Incentive Plan: These restricted stock units vest in three equal annual installments beginning on January 26, 2013.
/s/ Timothy J. Keenan, Attorney-in-Fact 01/27/2015
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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