0001225208-20-001164.txt : 20200127 0001225208-20-001164.hdr.sgml : 20200127 20200127141819 ACCESSION NUMBER: 0001225208-20-001164 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: Owens James CENTRAL INDEX KEY: 0001443909 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09225 FILM NUMBER: 20548856 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 0001443909 Owens James 1200 WILLOW LAKE BOULEVARD P.O. BOX 64683 ST. PAUL MN 55164-0683 1 President and CEO Common Stock 2020-01-24 4 M 0 9148.0000 48.3500 A 195545.7760 D Common Stock 2020-01-24 4 M 0 8121.0000 48.3500 A 203666.7760 D Common Stock 2020-01-24 4 M 0 7106.0000 48.3500 A 210772.7760 D Common Stock 2020-01-24 4 F 0 2230.0000 48.3500 D 208542.7760 D Common Stock 2020-01-24 4 F 0 2606.0000 48.3500 D 205936.7760 D Common Stock 2020-01-24 4 F 0 2821.0000 48.3500 D 203115.7760 D Common Stock 354.8300 I By 401(k) Plan Common Stock 280.0000 I By Son Employee Stock Option (Right-to-Buy) 48.3500 2020-01-24 4 A 0 238872.0000 48.3500 A 2021-01-24 2030-01-24 Common Stock 238872.0000 238872.0000 D Performance Stock Units 0.0000 2020-01-24 4 M 0 7106.0000 48.3500 D 2020-01-24 2022-01-24 Common Stock 7106.0000 16491.9200 D Performance Stock Units (CEO) 0.0000 2020-01-24 4 M 0 9148.0000 48.3500 D 2020-01-24 2020-01-24 Common Stock 9148.0000 0.0000 D Performance Stock Units (CEO) 0.0000 2020-01-24 4 M 0 8121.0000 48.3500 D 2020-01-24 2022-01-24 Common Stock 8121.0000 16492.9200 D Employee Stock Option (Right-to-Buy) 22.2700 2012-01-20 2021-01-20 Common Stock 48331.0000 48331.0000 D Employee Stock Option (Right-to-Buy) 25.1900 2012-07-07 2021-07-07 Common Stock 15748.0000 15748.0000 D Employee Stock Option (Right-to-Buy) 28.4000 2013-01-26 2022-01-26 Common Stock 77881.0000 77881.0000 D Employee Stock Option (Right-to-Buy) 33.3800 2017-01-19 2026-01-19 Common Stock 182039.0000 182039.0000 D Employee Stock Option (Right-to-Buy) 39.6400 2014-01-24 2023-01-24 Common Stock 80697.0000 80697.0000 D Employee Stock Option (Right-to-Buy) 41.0000 2016-01-22 2025-01-22 Common Stock 112727.0000 112727.0000 D Employee Stock Option (Right-to-Buy) 45.0400 2020-01-24 2029-01-24 Common Stock 226403.0000 226403.0000 D Employee Stock Option (Right-to-Buy) 48.9200 2015-01-23 2024-01-23 Common Stock 79061.0000 79061.0000 D Employee Stock Option (Right-to-Buy) 50.1000 2018-01-26 2027-01-26 Common Stock 151826.0000 151826.0000 D Employee Stock Option (Right-to-Buy) 53.5700 2019-01-25 2028-01-25 Common Stock 146887.0000 146887.0000 D Performance Stock Option (Right-to-Buy) 57.7000 2021-01-31 2027-10-20 Common Stock 289684.0000 289684.0000 D Performance Stock Units 0.0000 2019-01-25 2021-01-25 Common Stock 10631.1000 10631.1000 D Performance Stock Units (CEO) 0.0000 2019-01-25 2021-01-25 Common Stock 10635.1100 10635.1100 D Performance Stock Units (CEO) 0.0000 2018-01-26 2020-01-26 Common Stock 9144.4100 9144.4100 D Shares withheld for taxes due on 7,106 shares issued. Shares withheld for taxes due on 9,148 shares issued. Shares withheld for taxes due on 8,121 shares issued. This amount includes shares and dividends acquired pursuant to the H.B.Fuller Company 401(k) & Retirement Plan. Held jointly by spouse and son. 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 performance stock units vest in one annual installment beginning on the date shown, subject to one or more performance measures being achieved. These performance stock units vest in three equal annual installments beginning on the date shown, subject to one or more performance measures being achieved. Amount includes performance 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. /s/ Timothy J. Keenan, Attorney-in-Fact 2020-01-27