SEC FORM 4

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^*

Cai Zhiwei

(Last)

(First)

(Middle)

1200 WILLOW LAKE BOULEVARD

P.O. BOX 64683

(Street)

ST. PAUL

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)
	Sr. VP, Engineering Adhesives

3. Date of Earliest Transaction (Month/Day/Year)
10/01/2017

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)
1. Title of Security (Instr. 3)	2. Transaction Date (Month/Day/Year)	2A. Deemed Execution Date, if any (Month/Day/Year)	Code	V	Amount	(A) or (D)	Price		6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
Common Stock	10/01/2017		M		173	A	$58.06	2,958	D
Common Stock	10/01/2017		F		66⁽¹⁾	D	$58.06	2,892	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)
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)	Code	V	(A)	(D)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares	8. Price of Derivative Security (Instr. 5)		10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	11. Nature of Indirect Beneficial Ownership (Instr. 4)
Restricted Stock Units	$0.0000⁽²⁾	10/01/2017		M			173	⁽³⁾	10/01/2017	Common Stock	173	$58.06	0.0000	D
Employee Stock Option (Right-to-Buy)	$33.38							⁽⁴⁾	01/19/2026	Common Stock	9,546		9,546	D
Employee Stock Option (Right-to-Buy)	$36							⁽⁵⁾	02/12/2026	Common Stock	6,649		6,649	D
Employee Stock Option (Right-to-Buy)	$39.33							⁽⁶⁾	10/01/2024	Common Stock	1,669		1,669	D
Employee Stock Option (Right-to-Buy)	$39.64							⁽⁷⁾	01/24/2023	Common Stock	2,806		2,806	D
Employee Stock Option (Right-to-Buy)	$41							⁽⁸⁾	01/22/2025	Common Stock	7,292		7,292	D
Employee Stock Option (Right-to-Buy)	$41.8							⁽⁹⁾	02/02/2025	Common Stock	27,726		27,726	D
Employee Stock Option (Right-to-Buy)	$48.92							⁽⁷⁾	01/23/2024	Common Stock	2,746		2,746	D
Employee Stock Option (Right-to-Buy)	$50.1							01/26/2018⁽¹⁰⁾	01/26/2027	Common Stock	13,033		13,033	D
Performance Stock Units	$0.0000⁽¹¹⁾							01/19/2017⁽¹²⁾	01/19/2019	Common Stock	748.36		748.36⁽¹³⁾	D
Performance Stock Units	$0.0000⁽¹¹⁾							01/26/2018⁽¹²⁾	01/26/2020	Common Stock	1,409.11		1,409.11⁽¹⁴⁾	D
Performance Stock Units	$0.0000⁽¹¹⁾							02/12/2017⁽¹²⁾	02/12/2019	Common Stock	520.01		520.01⁽¹⁴⁾	D
Phantom Units	$0.0000⁽¹⁵⁾							⁽¹⁶⁾	⁽¹⁶⁾	Common Stock	661.93		661.93⁽¹⁷⁾	D
Restricted Stock Units	$0.0000⁽²⁾							⁽¹⁸⁾	01/19/2019	Common Stock	748.35		748.35⁽¹⁹⁾	D
Restricted Stock Units	$0.0000⁽²⁾							⁽²⁰⁾	01/22/2018	Common Stock	663.01		663.01⁽¹⁹⁾	D
Restricted Stock Units	$0.0000⁽²⁾							⁽²¹⁾	02/12/2019	Common Stock	520.18		520.18⁽¹⁹⁾	D
Restricted Stock Units	$0.0000⁽²⁾							⁽²²⁾	02/12/2020	Common Stock	20,169.03		20,169.03⁽¹⁹⁾	D
Restricted Stock Units	$0.0000⁽²⁾							01/26/2018⁽²³⁾	01/26/2020	Common Stock	3,579.78		3,579.78⁽¹⁹⁾	D

Explanation of Responses:

1. Shares withheld for taxes due on 173 shares issued.

2. These restricted stock units convert into shares of common stock on a 1-for-1 basis.

3. These restricted stock units vest in three equal annual installments beginning on October 1, 2015.

4. This option vests in three equal installments beginning on January 19, 2017.

5. This option vests in three equal installments beginning on February 12, 2017.

6. This option vests in three equal annual installments beginning on October 1, 2015.

7. This option is 100% vested.

8. This option vests in three equal annual installments beginning on January 22, 2016.

9. This option vests in two equal annual installments beginning on February 2, 2018 upon the achievement of certain gross margin targets being met.

10. This option vests in three equal installments beginning on the date shown.

11. These performance stock units convert into shares of common stock on a 1-for-1 basis.

12. 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.

13. 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.

14. Amount includes performance stock units acquired pursuant to a dividend equivalent reinvestment feature.

15. These units (acquired after 12-31-04) convert into shares of common stock on a 1-for-1 basis.

16. These units (acquired after 12-31-04) convert into shares of common stock upon the earlier of certain termination events as specified in the Key Employee DeferredCompensation Plan or such earlier date as selected by the participant, subject to holding periods required by law.

17. Amount includes stock units acquired pursuant to a dividend equivalent feature.

18. These restricted stock units vest in three equal annual installments beginning on January 19, 2017.

19. Amount includes restricted stock units acquired pursuant to a dividend equivalent reinvestment feature.

20. These restricted stock units vest in three equal annual installments beginning on January 22, 2016.

21. These restricted stock units vest in three equal annual installments beginning on February 12, 2017.

22. These restricted stock units vest in three annual installments beginning on February 12, 2018.

23. These restricted stock units vest in three equal annual installments beginning on the date shown.

	/s/ Timothy J. Keenan, Attorney-in-Fact	10/03/2017
	** 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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