0001225208-20-001399.txt : 20200131 0001225208-20-001399.hdr.sgml : 20200131 20200131115720 ACCESSION NUMBER: 0001225208-20-001399 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200130 FILED AS OF DATE: 20200131 DATE AS OF CHANGE: 20200131 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JENSEN TRACI L CENTRAL INDEX KEY: 0001533627 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09225 FILM NUMBER: 20564041 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 2020-01-30 0000039368 FULLER H B CO FUL 0001533627 JENSEN TRACI L 1200 WILLOW LAKE BOULEVARD P.O. BOX 64683 ST. PAUL MN 55164-0683 1 Vice President Common Stock 2020-01-30 4 S 0 9255.0000 47.6702 D 15706.0000 D Employee Stock Option (Right-to-Buy) 22.2700 2012-01-20 2021-01-20 Common Stock 12658.0000 12658.0000 D Employee Stock Option (Right-to-Buy) 33.3800 2017-01-19 2026-01-19 Common Stock 29832.0000 29832.0000 D Employee Stock Option (Right-to-Buy) 41.0000 2016-01-22 2025-01-22 Common Stock 22789.0000 22789.0000 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) 48.3500 2021-01-24 2030-01-24 Common Stock 14492.0000 14492.0000 D Employee Stock Option (Right-to-Buy) 48.9200 2015-01-23 2024-01-23 Common Stock 16644.0000 16644.0000 D Employee Stock Option (Right-to-Buy) 50.1000 2018-01-26 2027-01-26 Common Stock 23696.0000 23696.0000 D Employee Stock Option (Right-to-Buy) 53.5700 2019-01-25 2028-01-25 Common Stock 21834.0000 21834.0000 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 2020-01-24 2022-01-24 Common Stock 2002.2900 2002.2900 D Performance Stock Units 0.0000 2019-01-25 2021-01-25 Common Stock 801.7700 801.7700 D Restricted Stock Units 0.0000 2020-01-24 2022-01-24 Common Stock 2002.2900 2002.2900 D Restricted Stock Units 0.0000 2021-01-24 2023-01-24 Common Stock 1485.0000 1485.0000 D Restricted Stock Units 0.0000 2019-01-25 2021-01-25 Common Stock 802.7900 802.7900 D The price reported is the weighted average sale price for the transaction reported. The prices received ranged from $47.36 to $47.82. The reporting person will provide to the issuer, a security holder of the issuer, or the SEC staff, upon request, full information regarding the number of shares sold at each price within the range. This option is 100% vested. This option vests in three equal annual installments beginning on the date shown. 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. 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. 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 three equal annual installments beginning on the date shown. Amount includes restricted stock units acquired pursuant to a dividend equivalent reinvestment feature. /s/ Timothy J. Keenan, Attorney-in-Fact 2020-01-31