0001225208-20-006629.txt : 20200422 0001225208-20-006629.hdr.sgml : 20200422 20200422110924 ACCESSION NUMBER: 0001225208-20-006629 CONFORMED SUBMISSION TYPE: 3/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200330 FILED AS OF DATE: 20200422 DATE AS OF CHANGE: 20200422 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Weaver Nathan D. CENTRAL INDEX KEY: 0001807831 FILING VALUES: FORM TYPE: 3/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-09225 FILM NUMBER: 20806990 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: 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 3/A 1 doc3a.xml X0206 3/A 2020-03-30 2020-04-02 0 0000039368 FULLER H B CO FUL 0001807831 Weaver Nathan D. 1200 WILLOW LAKE BOULEVARD P.O. BOX 64683 ST. PAUL MN 55164-0683 1 VP, Human Resources Common Stock 5949.0000 D Phantom Units 0.0000 Common Stock 5667.4200 D 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 units (acquired after 12-31-04) convert into shares of common stock on a 1-for-1 basis. This amendment is being filed to correct the amount of securities directly owned by the Reporting Person on Table I. The number reported on the original Form 3 did not include 387 shares recently acquired pursuant to the Key Employee Deferred Compensation Plan. The amendment also corrects the number of Phantom Units reported on Table II by the Reporting Person. The number reported on the original Form 3 did not reflect a recent disposition of 540 units. /s/ Timothy J. Keenan, Attorney-in-Fact 2020-04-22