0001225208-20-001156.txt : 20200127
0001225208-20-001156.hdr.sgml : 20200127
20200127141744
ACCESSION NUMBER: 0001225208-20-001156
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200124
FILED AS OF DATE: 20200127
DATE AS OF CHANGE: 20200127
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Tometich Andrew E.
CENTRAL INDEX KEY: 0001786083
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-09225
FILM NUMBER: 20548844
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: 1130
BUSINESS ADDRESS:
STREET 1: 1200 WILLOW LAKE BLVD
CITY: ST PAUL
STATE: MN
ZIP: 55110-5132
BUSINESS PHONE: 6126453401
MAIL ADDRESS:
STREET 1: 1200 WILLOW LAKE BLVD
CITY: ST PAUL
STATE: MN
ZIP: 55110-5132
4
1
doc4.xml
X0306
4
2020-01-24
0000039368
FULLER H B CO
FUL
0001786083
Tometich Andrew E.
1200 WILLOW LAKE BOULEVARD
P.O. BOX 64683
ST. PAUL
MN
55164-0683
1
Executive VP, HHC
Common Stock
3756.0000
D
Employee Stock Option (Right-to-Buy)
48.3500
2020-01-24
4
A
0
14492.0000
48.3500
A
2030-01-24
Common Stock
14492.0000
14492.0000
D
Employee Stock Option (Right-to-Buy)
48.3500
2020-01-24
4
A
0
28985.0000
48.3500
A
2021-01-24
2030-01-24
Common Stock
28985.0000
28985.0000
D
Restricted Stock Units
0.0000
2020-01-24
4
A
0
2970.0000
0.0000
A
2022-01-24
Common Stock
2970.0000
2970.0000
D
Restricted Stock Units
0.0000
2020-01-24
4
A
0
2970.0000
0.0000
A
2021-01-24
2023-01-24
Common Stock
2970.0000
2970.0000
D
Employee Stock Option (Right-to-Buy)
46.1600
2019-10-17
2029-10-03
Common Stock
52301.0000
52301.0000
D
Restricted Stock Units
0.0000
2019-10-17
2020-10-03
Common Stock
5644.8100
5644.8100
D
This option vests in two equal annual installments beginning on January 24, 2021.
This option vests in three equal annual installments beginning on the date shown.
These restricted stock units convert into shares of common stock on a 1-for-1 basis.
These restricted stock units vest in two equal annual installments beginning on January 24, 2021.
This option vests in two equal installments. The first installment vests on the date shown and the second installment vests on October 3, 2020.
These restricted stock units vest in two equal installments. The first installment vests on the date shown and the second installment vests on October 3, 2020.
Amount includes restricted stock units acquired pursuant to a dividend equivalent reinvestment feature.
/s/ Timothy J. Keenan, Attorney-in-Fact
2020-01-27