0001225208-20-006105.txt : 20200406
0001225208-20-006105.hdr.sgml : 20200406
20200406121052
ACCESSION NUMBER: 0001225208-20-006105
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200402
FILED AS OF DATE: 20200406
DATE AS OF CHANGE: 20200406
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MITAU LEE R
CENTRAL INDEX KEY: 0001185489
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-09225
FILM NUMBER: 20776361
MAIL ADDRESS:
STREET 1: P O BOX 1441
CITY: MINNEAPOLIS
STATE: MN
ZIP: 55440-1441
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: 1128
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
2020-04-02
0000039368
FULLER H B CO
FUL
0001185489
MITAU LEE R
1200 WILLOW LAKE BOULEVARD
P.O. BOX 64683
ST. PAUL
MN
55164-0683
1
Common Stock
2020-04-02
4
J
0
42671.0000
0.0000
A
42671.0000
I
By GRAT
Common Stock
100.0000
I
By Daughter
Stock Units
0.0000
Common Stock
123746.0800
123746.0800
D
Stock Units
0.0000
1988-08-08
Common Stock
47863.2700
47863.2700
D
On April 2, 2020, the reporting person withdrew 42,671 shares of H.B. Fuller common stock from a grantor retained annuity trust established for the benefit of himself, his adult children and their descendants. In exchange for the shares, the reporting person contributed to the trust bonds and cash in the principal amount of $1,113,073.00. The reporting person believes that his withdrawal of shares from the trust, and their subsequent contribution into anew grantor retained annuity trust, constitute a change in form of beneficial ownership of the shares, exempted by Rule 16a-13 under the Securities Exchange Act of 1934.
These units convert into shares of common stock on a 1-for-1 basis.
These units will be converted into shares of common stock upon retirement, death, disability or certain specified events, all as defined in such plan, subject to holding periods required by law.
This amount includes stock units acquired pursuant to a dividend equivalent feature of the Directors' Deferred Compensation Plan.
These units (acquired before 12-31-04) will be converted into shares of common stock upon retirement, death, disability or certain specified events, all as defined in such plan, subject to holding periods required by law.
/s/ Timothy J. Keenan, Attorney-in-Fact
2020-04-06