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