0001225208-17-016545.txt : 20171025 0001225208-17-016545.hdr.sgml : 20171025 20171025134910 ACCESSION NUMBER: 0001225208-17-016545 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171023 FILED AS OF DATE: 20171025 DATE AS OF CHANGE: 20171025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Martsching Robert J CENTRAL INDEX KEY: 0001599549 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09225 FILM NUMBER: 171152761 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: 1203 BUSINESS ADDRESS: STREET 1: 1200 WILLOW LAKE BLVD CITY: ST PAUL STATE: MN ZIP: 55110-5132 BUSINESS PHONE: 6126453401 4 1 doc4.xml X0306 4 2017-10-23 0000039368 FULLER H B CO FUL 0001599549 Martsching Robert J 1200 WILLOW LAKE BOULEVARD P.O. BOX 64683 ST. PAUL MN 55164-0683 1 VP, Corporate Controller Common Stock 2017-10-23 4 S 0 3870.0000 57.9262 D 8517.2429 D Common Stock 4.8100 I By 401(k) Plan Employee Stock Option (Right-to-Buy) 22.2700 2021-01-20 Common Stock 4315.0000 4315.0000 D Employee Stock Option (Right-to-Buy) 28.4000 2022-01-26 Common Stock 3504.0000 3504.0000 D Employee Stock Option (Right-to-Buy) 33.3800 2026-01-19 Common Stock 9546.0000 9546.0000 D Employee Stock Option (Right-to-Buy) 38.3100 2023-04-10 Common Stock 658.0000 658.0000 D Employee Stock Option (Right-to-Buy) 39.6400 2023-01-24 Common Stock 2806.0000 2806.0000 D Employee Stock Option (Right-to-Buy) 41.0000 2025-01-22 Common Stock 7292.0000 7292.0000 D Employee Stock Option (Right-to-Buy) 48.9200 2024-01-23 Common Stock 5326.0000 5326.0000 D Employee Stock Option (Right-to-Buy) 50.1000 2018-01-26 2027-01-26 Common Stock 7582.0000 7582.0000 D Performance Stock Option (Right-to-Buy) 57.7000 2021-01-31 2027-10-20 Common Stock 20016.0000 20016.0000 D Performance Stock Units 0.0000 2017-01-19 2019-01-19 Common Stock 748.3600 748.3600 D Performance Stock Units 0.0000 2018-01-26 2020-01-26 Common Stock 820.0500 820.0500 D Phantom Units 0.0000 Common Stock 3015.3842 3015.3842 D Restricted Stock Units 0.0000 2019-01-19 Common Stock 748.3500 748.3500 D Restricted Stock Units 0.0000 2018-01-22 Common Stock 656.0200 656.0200 D Restricted Stock Units 0.0000 2018-05-01 Common Stock 2384.0700 2384.0700 D Restricted Stock Units 0.0000 2018-01-26 2027-01-26 Common Stock 1890.2500 1890.2500 D The price reported is the weighted average sale price for the transaction reported. The prices received ranged from $57.92 to $57.96. The reporting person will provide to the issuer, a security holder of theissuer, or the SEC staff, upon request, full information regarding the number of shares sold at each price within the range. Amount includes 2,738 restricted shares that are 100% vested and restricted shares acquired pursuant to a dividend accrual feature. Amount includes shares and dividends acquired pursuant to the H.B.Fuller Company 401(k) & Retirement Plan. 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 the date shown. These performance-based non-qualified stock options vest on the date shown contingent upon H.B. Fuller achieving adjusted EBITDA at least at the threshold level of performance. Each performance-based non-qualified stock option represents a contingent right and option to purchase all or any part of an aggregate of 20,016 shares of Common Stock at the price of $57.70 per share. Prior to vesting, the number of options subject to the award will be adjusted based on the company's adjusted EBITDA performance for fiscal year 2020. The number of options may decrease to as low as 0% of the initial number of options depending on the level of adjusted EBITDA performance. The grant amount is shown at the superior level of performance. These performance stock units convert into shares of common stock on a 1-for-1 basis. 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. 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 of the H.B. Fuller Company 2013 Master Incentive Plan. Amount includes performance stock units acquired pursuant to a dividend equivalent reinvestment feature. These units (acquired after 12-31-04) convert into shares of common stock on a 1-for-1 basis. 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. Amount includes stock units acquired pursuant to a dividend equivalent 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 January 19, 2017. Amount includes restricted stock units acquired pursuant to a dividend equivalent reinvestment feature. These restricted stock units vest in three equal annual installments beginning on January 22, 2016. 50% of these restricted stock units vested on May 1, 2017 and 50% will vest on May 1, 2018. These restricted stock units vest in three equal annual installments beginning on the date shown. /s/ Timothy J. Keenan, Attorney-in-Fact 2017-10-25