0001225208-20-001162.txt : 20200127 0001225208-20-001162.hdr.sgml : 20200127 20200127141811 ACCESSION NUMBER: 0001225208-20-001162 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: Keenan Timothy J CENTRAL INDEX KEY: 0001345567 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09225 FILM NUMBER: 20548854 MAIL ADDRESS: STREET 1: 1200 WILLOW LAKE BOULEVARD STREET 2: P.O. BOX 64683 CITY: ST. PAUL STATE: MN ZIP: 55164-0683 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 0001345567 Keenan Timothy J 1200 WILLOW LAKE BOULEVARD P.O. BOX 64683 ST. PAUL MN 55164-0683 1 VP, Gen. Counsel & Corp. Sec. Common Stock 2020-01-24 4 M 0 840.0000 48.3500 A 24617.0000 D Common Stock 2020-01-24 4 M 0 590.0000 48.3500 A 25207.0000 D Common Stock 2020-01-24 4 M 0 516.0000 48.3500 A 25723.0000 D Common Stock 2020-01-24 4 F 0 168.0000 48.3500 D 25555.0000 D Common Stock 2020-01-24 4 F 0 187.0000 48.3500 D 25368.0000 D Common Stock 2020-01-24 4 F 0 239.0000 48.3500 D 25129.0000 D Common Stock 5.8000 I By 401(k) Plan Employee Stock Option (Right-to-Buy) 48.3500 2020-01-24 4 A 0 14492.0000 48.3500 A 2021-01-24 2030-01-24 Common Stock 14492.0000 14492.0000 D Performance Stock Units 0.0000 2020-01-24 4 M 0 516.0000 48.3500 D 2020-01-24 2022-01-24 Common Stock 516.0000 1201.5700 D Restricted Stock Units 0.0000 2020-01-24 4 M 0 840.0000 48.3500 D 2020-01-24 2020-01-24 Common Stock 840.0000 0.0000 D Restricted Stock Units 0.0000 2020-01-24 4 M 0 590.0000 48.3500 D 2020-01-24 2022-01-24 Common Stock 590.0000 1201.5700 D Restricted Stock Units 0.0000 2020-01-24 4 A 0 1485.0000 0.0000 A 2021-01-24 2023-01-24 Common Stock 1485.0000 1485.0000 D Employee Stock Option (Right-to-Buy) 28.4000 2013-01-26 2022-01-26 Common Stock 14278.0000 14278.0000 D Employee Stock Option (Right-to-Buy) 33.3800 2017-01-19 2026-01-19 Common Stock 16408.0000 16408.0000 D Employee Stock Option (Right-to-Buy) 39.6400 2014-01-24 2023-01-24 Common Stock 10291.0000 10291.0000 D Employee Stock Option (Right-to-Buy) 41.0000 2016-01-22 2025-01-22 Common Stock 12534.0000 12534.0000 D Employee Stock Option (Right-to-Buy) 45.0500 2020-01-24 2029-01-24 Common Stock 16483.0000 16483.0000 D Employee Stock Option (Right-to-Buy) 48.9200 2015-01-23 2024-01-23 Common Stock 9154.0000 9154.0000 D Employee Stock Option (Right-to-Buy) 51.1000 2018-01-26 2027-01-26 Common Stock 14336.0000 14336.0000 D Employee Stock Option (Right-to-Buy) 53.5700 2019-01-25 2028-01-25 Common Stock 13100.0000 13100.0000 D Performance Stock Option (Right-to-Buy) 57.7000 2021-01-31 2027-10-20 Common Stock 34403.0000 34403.0000 D Performance Stock Units 0.0000 2019-01-25 2021-01-25 Common Stock 949.0700 949.0700 D Restricted Stock Units 0.0000 2019-01-25 2021-01-25 Common Stock 949.0700 949.0700 D Restricted Stock Units 0.0000 2018-01-26 2020-01-26 Common Stock 1183.0000 1183.0000 D Shares withheld for taxes due on 590 shares issued. Shares withheld for taxes due on 516 shares issued. Shares withheld for taxes due on 840 shares issued. Amount includes shares and dividends acquired pursuant to the H.B.Fuller Company 401(k) & Retirement Plan. 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 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 2020-01-27