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*
STROUCKEN ALBERT P L

(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)
Chairman of Board, Pres, CEO
3. Date of Earliest Transaction (Month/Day/Year)
04/07/2004
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 1,330.53 I(1) By 401(k) Plan
Common Stock 04/07/2004 S 7,600(9) D $29 205,109 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
Employee Stock Option (Right-to-buy) $21.5 08/08/1988(2) 12/02/2008 Common Stock 66,138 66,138 D
Employee Stock Option (Right-to-Buy) $19.875 08/08/1988(3) 12/01/2009 Common Stock 56,684 56,684 D
Employee Stock Option (Right-to-Buy) $18.625 08/08/1988(4) 12/07/2010 Common Stock 103,896 103,896 D
Employee Stock Option (Right-to-Buy) $25.95 08/08/1988(5) 01/17/2012 Common Stock 71,721 71,721 D
Phantom Stock $0.0(6) 08/08/1988(7) 08/08/1988(7) Common Stock 31,684 31,684(7) D
Employee Stock Option (Right-to-Buy) $27.9 08/08/1988(8) 12/09/2012 Common Stock 65,543 65,543 D
Explanation of Responses:
1. 401(k) Plan: This amount includes shares acquired during the fiscal year pursuant to the H.B. Fuller Company Thrift Plan.
2. 1992 Stock Incentive Plan: This option vests in four equal installments beginning on December 2, 1999.
3. 2000 Stock Incentive Plan: This option vests in four equal installments beginning on December 1, 2000.
4. 2000 Stock Incentive Plan: This option vests in four equal installments beginning on December 7, 2001.
5. 2000 Stock Incentive Plan: This option vests in four equal installments beginning on January 17, 2003.
6. Deferred Compensation Plan: These units convert into shares of common stock on a 1-for-1 basis.
7. Deferred Compensation Plan: Units 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.
8. 2000 Stock Incentive Plan: This option vests in four equal installments beginning on December 9, 2003.
9. Shares sold pursuant to 10b5-1 plan.
Patricia L. Jones, Attorney-in-Fact 04/08/2004
** 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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.