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