0001225208-20-014033.txt : 20201201 0001225208-20-014033.hdr.sgml : 20201201 20201201160737 ACCESSION NUMBER: 0001225208-20-014033 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: Cai Zhiwei CENTRAL INDEX KEY: 0001666560 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09225 FILM NUMBER: 201360969 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 4 1 doc4.xml X0306 4 2020-11-30 0000039368 FULLER H B CO FUL 0001666560 Cai Zhiwei 1200 WILLOW LAKE BOULEVARD P.O. BOX 64683 ST. PAUL MN 55164-0683 1 Executive Vice President, EA Common Stock 24107.0000 D Performance Stock Option (Right-to-Buy) 57.7000 2020-11-30 4 D 0 62552.0000 0.0000 D 2021-01-31 2027-10-20 Common Stock 62552.0000 0.0000 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 28985.0000 28985.0000 D Employee Stock Option (Right-to-Buy) 48.9200 2015-01-23 2024-01-23 Common Stock 2746.0000 2746.0000 D Employee Stock Option (Right-to-Buy) 50.1000 2018-01-26 2027-01-26 Common Stock 13033.0000 13033.0000 D Employee Stock Option (Right-to-Buy) 53.5700 2019-01-25 2028-01-25 Common Stock 16375.0000 16375.0000 D Performance Stock Units 0.0000 2020-01-24 2022-01-24 Common Stock 2031.5200 2031.5200 D Performance Stock Units 0.0000 2019-01-25 2021-01-25 Common Stock 616.3300 616.3300 D Phantom Units 0.0000 Common Stock 2900.8200 2900.8200 D Restricted Stock Units 0.0000 2020-01-24 2022-01-24 Common Stock 2031.5500 2031.5500 D Restricted Stock Units 0.0000 2021-01-24 2023-01-24 Common Stock 3013.3900 3013.3900 D Restricted Stock Units 0.0000 2019-01-25 2021-01-25 Common Stock 605.9700 605.9700 D Represents the forfeiture of performance-based stock options granted to the reporting person on October 20, 2017 that were eligible to vest contingent upon H.B. Fuller achieving adjusted EBITDA at least at the threshold level of performance. On November 30, 2020, the Compensation Committee of the Company determined that, based on the Company's performance over the applicable performance period, the options would vest at 0% and will be forfeited. This option vests in three equal annual installments beginning on the date shown. This option is 100% vested. 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 units (acquired after 12-31-04) convert into shares of common stock on a 1-for-1 basis. 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 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 2020-12-01