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