0001225208-16-037502.txt : 20160804 0001225208-16-037502.hdr.sgml : 20160804 20160804160932 ACCESSION NUMBER: 0001225208-16-037502 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160803 FILED AS OF DATE: 20160804 DATE AS OF CHANGE: 20160804 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: Keenan Timothy J CENTRAL INDEX KEY: 0001345567 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09225 FILM NUMBER: 161807482 MAIL ADDRESS: STREET 1: 1200 WILLOW LAKE BOULEVARD STREET 2: P.O. BOX 64683 CITY: ST. PAUL STATE: MN ZIP: 55164-0683 4 1 doc4.xml X0306 4 2016-08-03 0000039368 FULLER H B CO FUL 0001345567 Keenan Timothy J 1200 WILLOW LAKE BOULEVARD P.O. BOX 64683 ST. PAUL MN 55164-0683 1 VP, Gen. Counsel & Corp. Sec. Common Stock 2016-07-13 5 G 0 35.0000 0.0000 D 22142.0010 D Common Stock 2016-07-14 5 G 0 115.0000 0.0000 D 22027.0010 D Common Stock 2016-08-03 4 M 0 8037.0000 14.1500 A 30064.0010 D Common Stock 2016-08-03 4 S 0 8037.0000 46.0315 D 22027.0010 D Common Stock 5.5600 I By 401(k) Plan Employee Stock Option (Right-to-Buy) 14.1500 2016-08-03 4 M 0 8037.0000 14.1500 D 2018-12-04 Common Stock 8037.0000 20000.0000 D Employee Stock Option (Right-to-Buy) 33.3800 2026-01-19 Common Stock 16408.0000 16408.0000 D Employee Stock Option (Right-to-Buy) 22.2700 2021-01-20 Common Stock 15822.0000 15822.0000 D Employee Stock Option (Right-to-Buy) 41.0000 2025-01-22 Common Stock 12534.0000 12534.0000 D Employee Stock Option (Right-to-Buy) 48.9200 2024-01-23 Common Stock 9154.0000 9154.0000 D Employee Stock Option (Right-to-Buy) 39.6400 2023-01-24 Common Stock 10291.0000 10291.0000 D Employee Stock Option (Right-to-Buy) 28.4000 2022-01-26 Common Stock 14278.0000 14278.0000 D Employee Stock Option (Right-to-Buy) 20.5700 2019-12-03 Common Stock 17505.0000 17505.0000 D Phantom Units 0.0000 Common Stock 1689.8200 1689.8200 D Restricted Stock Units 0.0000 Common Stock 1888.5300 1888.5300 D Restricted Stock Units 0.0000 2019-01-19 Common Stock 1889.5500 1889.5500 D Restricted Stock Units 0.0000 2018-01-22 Common Stock 2185.3400 2185.3400 D Restricted Stock Units 0.0000 2017-01-23 Common Stock 943.8300 943.8300 D Bona fide gift made by the Reporting Person on July 13, 2016. Bona fide gift made by the Reporting Person on July 14, 2016. The price reported is the weighted average sale price for the transaction reported. The prices received ranged from $45.9675 to $46.10. The reporting person will provide to the issuer, a security holder of the issuer, or the SEC staff, upon request, full information regarding the number of shares sold at each price within the range. Amended and Restated Year 2000 Stock Incentive Plan: 27,973 restricted shares were awarded pursuant to H.B. Fuller Company's Amended and Restated Year 2000 Stock Incentive Plan. This amount includes 4,165 restricted shares that vested effective December 4, 2009; 3,557 restricted shares that vested effective December 6, 2010; 6,455 restricted shares that vested effective December 4, 2011; 7,261 restricted shares that vested in three equal annual installments beginning on December 3, 2010; and 6,535 restricted shares that vested in three equal annual installments beginning on January 20, 2012. Amount also includes restricted shares acquired pursuant to a dividend accrual feature of the Amended and Restated Year 2000 Stock Incentive Plan. 401(k) Plan: This amount includes shares and dividends acquired pursuant to the H.B.Fuller Company 401(k) & Retirement Plan. Amended and Restated Year 2000 Stock Incentive Plan: This option is 100% vested. H.B. Fuller Company 2013 Master Incentive Plan: This option vests in three equal installments beginning on January 19, 2017. This option makes up part of the reporting person's fiscal year 2016 long-term incentive plan grant. H.B. Fuller Company 2013 Master Incentive Plan: This option vests in three equal annual installments beginning on January 22, 2016. 2013 Master Incentive Plan: This option vests in three equal annual installments beginning on January 23, 2015. Deferred Compensation Plan: These units (acquired after 12-31-04) convert into shares of common stock on a 1-for-1 basis. Deferred Compensation Plan: 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 Deferred Compensation Plan or such earlier date as selected by the participant, subject to holding periods required by law. Key Employee Deferred Compensation Plan Dividend Reinvestment: This amount (acquired after 12-31-04) includes stock units acquired pursuant to a dividend equivalent feature of the Key Employees' Deferred Compensation Plan. H.B. Fuller Company 2013 Master Incentive Plan: These restricted stock units convert into shares of common stock on a 1-for-1 basis. H.B. Fuller Company 2013 Master Incentive Plan: These restricted stock units vest in three annual installments beginning on January 19, 2017 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 restricted stock units make up part of the reporting person's fiscal year 2016 long-term incentive plan grant. These restricted stock units expire on January 19, 2019. H.B. Fuller Company 2013 Master Incentive Plan: These restricted stock units vest in three equal annual installments beginning on January 19, 2017. These restricted stock units make up part of the reporting person's fiscal year 2016 long-term incentive plan grant. H.B. Fuller Company 2013 Master Incentive Plan: These restricted stock units vest in three equal annual installments beginning on January 22, 2016. H.B. Fuller Company 2013 Master Incentive Plan: These restricted units include stock units acquired pursuant to a dividend equivalent reinvestment feature of the H.B. Fuller Company 2013 Master Incentive Plan. H.B. Fuller Company 2013 Master Incentive Plan: These restricted stock units vest in three equal annual installments beginning on January 23, 2015. H.B. Fuller Company 2013 Master Incentive Plan: These restricted units include stock units acquired pursuant to a dividend equivalent reinvestment feature of H.B. Fuller Company 2013 Master Incentive Plan. /s/ Timothy J. Keenan 2016-08-04