0001225208-20-001158.txt : 20200127 0001225208-20-001158.hdr.sgml : 20200127 20200127141754 ACCESSION NUMBER: 0001225208-20-001158 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: Cai Zhiwei CENTRAL INDEX KEY: 0001666560 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09225 FILM NUMBER: 20548846 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 0001666560 Cai Zhiwei 1200 WILLOW LAKE BOULEVARD P.O. BOX 64683 ST. PAUL MN 55164-0683 1 Executive Vice President, EA Common Stock 2020-01-24 4 M 0 984.0000 48.3500 A 14362.0000 D Common Stock 2020-01-24 4 M 0 861.0000 48.3500 A 15223.0000 D Common Stock 2020-01-24 4 M 0 800.0000 48.3500 A 16023.0000 D Common Stock 2020-01-24 4 F 0 327.0000 48.3500 D 15696.0000 D Common Stock 2020-01-24 4 F 0 352.0000 48.3500 D 15344.0000 D Common Stock 2020-01-24 4 F 0 368.0000 48.3500 D 14976.0000 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 Performance Stock Units 0.0000 2020-01-24 4 M 0 861.0000 48.3500 D 2020-01-24 2022-01-24 Common Stock 861.0000 2002.2900 D Phantom Units 0.0000 2020-01-24 4 A 0 9.8400 48.3500 A Common Stock 9.8400 2084.9200 D Restricted Stock Units 0.0000 2020-01-24 4 M 0 800.0000 48.3500 D 2020-01-24 2020-01-24 Common Stock 800.0000 0.0000 D Restricted Stock Units 0.0000 2020-01-24 4 M 0 984.0000 48.3500 D 2020-01-24 2022-01-24 Common Stock 984.0000 2002.2900 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) 45.0500 2020-01-24 2029-01-24 Common Stock 27472.0000 27472.0000 D Employee Stock Option (Right-to-Buy) 48.9200 2015-01-23 2024-01-23 Common Stock 2746.0000 2746.0000 D Employee Stock Option (Right-to-Buy) 50.1000 2018-01-26 2027-01-26 Common Stock 13033.0000 13033.0000 D Employee Stock Option (Right-to-Buy) 53.5700 2019-01-25 2028-01-25 Common Stock 16375.0000 16375.0000 D Performance Stock Option (Right-to-Buy) 57.7000 2021-01-31 2027-10-20 Common Stock 62552.0000 62552.0000 D Performance Stock Units 0.0000 2019-01-25 2021-01-25 Common Stock 1191.5300 1191.5300 D Restricted Stock Units 0.0000 2019-01-25 2021-01-25 Common Stock 1181.1700 1181.1700 D Restricted Stock Units 0.0000 2018-01-26 2020-01-26 Common Stock 1252.7700 1252.7700 D Restricted Stock Units 0.0000 2018-02-12 2020-02-12 Common Stock 11629.7600 11629.7600 D Shares withheld for taxes due on 800 shares issued. Shares withheld for taxes due on 861 shares issued. Shares withheld for taxes due on 984 shares issued. This option vests in three equal annual installments beginning on the date shown. These performance stock units convert into shares of common stock on a 1-for-1 basis. These performance stock units vest in three equal 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. This amount has been adjusted to reflect the decrease in number of performance stock units of the original grant based on performance criteria. Amount includes performance stock units acquired pursuant to a dividend equivalent reinvestment feature. These units (acquired after 12-31-04) convert into shares of common stock on a 1-for-1 basis. 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. Amount includes stock units acquired pursuant to a dividend equivalent feature. These restricted stock units convert into shares of common stock on a 1-for-1 basis. These restricted stock units vest in one annual installment on the date shown. These restricted stock units vest in three equal annual installments beginning on the date shown. Amount includes restricted stock units acquired pursuant to a dividend equivalent reinvestment feature. This option is 100% vested. These performance-based non-qualified stock options vest on the date shown contingent upon H.B. Fuller achieving adjusted EBITDA at least at the threshold level of performance. Amount includes performance stock units acquired pursuant to a dividend equivalent reinvestment feature. /s/ Timothy J. Keenan, Attorney-in-Fact 2020-01-27