0001225208-17-002410.txt : 20170206
0001225208-17-002410.hdr.sgml : 20170206
20170206142704
ACCESSION NUMBER: 0001225208-17-002410
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170203
FILED AS OF DATE: 20170206
DATE AS OF CHANGE: 20170206
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: JENSEN TRACI L
CENTRAL INDEX KEY: 0001533627
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-09225
FILM NUMBER: 17575130
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
2017-02-03
0000039368
FULLER H B CO
FUL
0001533627
JENSEN TRACI L
1200 WILLOW LAKE BOULEVARD
P.O. BOX 64683
ST. PAUL
MN
55164-0683
1
Sr.VP, Global Const Products
Common Stock
2017-02-03
4
S
0
4144.0000
49.9005
D
20375.0000
D
Employee Stock Option (Right-to-Buy)
22.2700
2021-01-20
Common Stock
12658.0000
12658.0000
D
Employee Stock Option (Right-to-Buy)
23.6800
2020-04-14
Common Stock
6223.0000
6223.0000
D
Employee Stock Option (Right-to-Buy)
33.3800
2026-01-19
Common Stock
29832.0000
29832.0000
D
Employee Stock Option (Right-to-Buy)
39.6400
2023-01-24
Common Stock
18712.0000
18712.0000
D
Employee Stock Option (Right-to-Buy)
41.0000
2025-01-22
Common Stock
22789.0000
22789.0000
D
Employee Stock Option (Right-to-Buy)
48.9200
2024-01-23
Common Stock
16644.0000
16644.0000
D
Employee Stock Option (Right-to-Buy)
50.1000
2018-01-26
2027-01-26
Common Stock
23696.0000
23696.0000
D
Performance Stock Units
0.0000
2017-01-19
2019-01-19
Common Stock
2315.5100
2315.5100
D
Performance Stock Units
0.0000
2018-01-26
2020-01-26
Common Stock
2541.0000
2541.0000
D
Restricted Stock Units
0.0000
2019-01-19
Common Stock
2316.5100
2316.5100
D
Restricted Stock Units
0.0000
2018-01-22
Common Stock
2030.0400
2030.0400
D
Restricted Stock Units
0.0000
2018-01-26
2020-01-26
Common Stock
4260.0000
4260.0000
D
Amended and Restated Year 2000 Stock Incentive Plan: Amount includes 24,398 restricted shares awarded pursuant to H.B. Fuller Company's Amended and Restated Year 2000 Stock Incentive Plan and are 100% vested. Total amount also includes restricted shares acquired pursuant to a dividend accrual feature of the Amended and Restated Year 2000 Stock Incentive 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.
H.B. Fuller Company 2013 Master Incentive Plan: This option is 100% vested.
H.B. Fuller Company 2016 Master Incentive Plan: This option vests in three equal installments beginning on the date shown.
H.B. Fuller Company 2013 Master Incentive Plan: These performance stock units convert into shares of common stock on a 1-for-1 basis.
H.B. Fuller Company 2013 Master Incentive Plan: 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.
H.B. Fuller Company 2013 Master Incentive Plan: 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.
H.B. Fuller Company 2016 Master Incentive Plan: These performance stock units convert into shares of common stock on a 1-for-1 basis.
H.B. Fuller Company 2016 Master Incentive Plan: 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.
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 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 2016 Master Incentive Plan: These restricted stock units convert into shares of common stock on a 1-for-1 basis.
H.B. Fuller Company 2016 Master Incentive Plan: These restricted stock units vest in three equal annual installments beginning on the date shown.
/s/ Timothy J. Keenan, Attorney-in-Fact
2017-02-06