0001225208-17-007876.txt : 20170410 0001225208-17-007876.hdr.sgml : 20170410 20170410171403 ACCESSION NUMBER: 0001225208-17-007876 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170406 FILED AS OF DATE: 20170410 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: 1203 BUSINESS ADDRESS: STREET 1: 1200 WILLOW LAKE BLVD CITY: ST PAUL STATE: MN ZIP: 55110-5132 BUSINESS PHONE: 6126453401 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Cooney Paula M. CENTRAL INDEX KEY: 0001670565 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09225 FILM NUMBER: 17754252 MAIL ADDRESS: STREET 1: 1200 WILLOW LAKE BLVD. STREET 2: P.O. BOX 64683 CITY: ST. PAUL STATE: MN ZIP: 55110 4 1 doc4.xml X0306 4 2017-04-06 0000039368 FULLER H B CO FUL 0001670565 Cooney Paula M. 1200 WILLOW LAKE BOULEVARD P.O. BOX 64683 ST. PAUL MN 55164-0683 1 VP, Human Resources Common Stock 2017-04-06 4 M 0 369.0000 49.9500 A 7014.0000 D Common Stock 2017-04-06 4 M 0 290.0000 49.9500 A 7304.0000 D Common Stock 2017-04-06 4 F 0 222.0000 49.9500 D 7082.0000 D Common Stock 2017-04-07 4 S 0 843.0000 50.5300 D 6239.0000 D Performance Stock Units 0.0000 2017-04-06 4 M 0 369.0000 49.9500 D 2017-04-06 2019-04-06 Common Stock 369.0000 601.6500 D Restricted Stock Units 0.0000 2017-04-06 4 M 0 290.0000 49.9500 D 2019-04-06 Common Stock 290.0000 601.6500 D Employee Stock Option (Right-to-Buy) 22.2700 2021-01-20 Common Stock 6524.0000 6524.0000 D Employee Stock Option (Right-to-Buy) 23.6800 2020-04-14 Common Stock 3647.0000 3647.0000 D Employee Stock Option (Right-to-Buy) 28.4000 2022-01-26 Common Stock 5451.0000 5451.0000 D Employee Stock Option (Right-to-Buy) 33.3800 2026-01-19 Common Stock 6264.0000 6264.0000 D Employee Stock Option (Right-to-Buy) 39.6400 2023-01-24 Common Stock 4126.0000 4126.0000 D Employee Stock Option (Right-to-Buy) 41.0000 2025-01-22 Common Stock 4785.0000 4785.0000 D Employee Stock Option (Right-to-Buy) 43.1600 2026-04-06 Common Stock 7706.0000 7706.0000 D Employee Stock Option (Right-to-Buy) 48.9200 2024-01-23 Common Stock 4194.0000 4194.0000 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) 50.1600 2016-12-04 2023-12-04 Common Stock 4010.0000 4010.0000 D Performance Stock Units 0.0000 2017-01-19 2019-01-19 Common Stock 487.5100 487.5100 D Performance Stock Units 0.0000 2018-01-26 2020-01-26 Common Stock 1400.9600 1400.9600 D Restricted Stock Units 0.0000 2019-01-19 Common Stock 488.5200 488.5200 D Restricted Stock Units 0.0000 2018-01-22 Common Stock 428.0400 428.0400 D Restricted Stock Units 0.0000 2018-01-26 2020-01-26 Common Stock 2759.8100 2759.8100 D This amount reflects a 127.5% payout based on the performance criteria achieved. Shares withheld for taxes due on total of 659 shares issued pursuant to the H.B. Fuller Company 2013 Master Stock Incentive Plan. These performance stock units convert into shares of common stock on a 1-for-1 basis. These performance stock units vest in three 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. These performance stock units make up part of the reporting person's fiscal year 2016 long-term incentive plan grant. This amount has been adjusted to reflect the increase in number of performance stock units of the original grant based on performance criteria. Amount also 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 three equal annual installments beginning on April 6, 2017. These restricted stock units make up part of the reporting person's fiscal year 2016 long-term incentive plan grant. Amount includes restricted stock units acquired pursuant to a dividend equivalent reinvestment feature. This option is 100% vested. This option vests in three equal annual installments beginning on January 19, 2017. This option vests in three equal annual installments beginning on January 22, 2016. This option vests in three equal annual installments beginning on April 6, 2017. H.B. Fuller Company 2013 Master Incentive Plan: This option is 100% vested. This option vests in three equal annual installments beginning on the date shown. These performance stock units vest in three 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. 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 vest in three equal annual installments beginning on January 19, 2017. These restricted stock units vest in three equal annual installments beginning on January 22, 2016. These restricted stock units vest in three equal annual installments beginning on the date shown. /s/ Timothy J. Keenan, Attorney-in-Fact 2017-04-10