0001225208-20-014022.txt : 20201201
0001225208-20-014022.hdr.sgml : 20201201
20201201152656
ACCESSION NUMBER: 0001225208-20-014022
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20201130
FILED AS OF DATE: 20201201
DATE AS OF CHANGE: 20201201
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: FLORNESS DANIEL L
CENTRAL INDEX KEY: 0001017427
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-09225
FILM NUMBER: 201360767
MAIL ADDRESS:
STREET 1: FASTENAL CO
STREET 2: 2001 THEURER BLVD
CITY: WINONA
STATE: MN
ZIP: 55987
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
2020-11-30
0000039368
FULLER H B CO
FUL
0001017427
FLORNESS DANIEL L
1200 WILLOW LAKE BOULEVARD
P.O. BOX 64683
ST. PAUL
MN
55164-0683
1
Stock Units
0.0000
2020-11-30
4
A
0
378.3700
52.3300
A
Common Stock
378.3700
10718.1300
D
Restricted Stock Units
0.0000
2021-07-12
2021-07-12
Common Stock
1344.7200
1344.7200
D
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 restricted stock units convert into shares of common stock on a 1-for-1 basis.
This amount includes restricted stock units acquired pursuant to a dividend equivalent feature of the Directors' Deferred Compensation Plan.
/s/ Timothy J. Keenan, Attorney-in-Fact
2020-12-01