0001225208-21-001105.txt : 20210125 0001225208-21-001105.hdr.sgml : 20210125 20210125182212 ACCESSION NUMBER: 0001225208-21-001105 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210124 FILED AS OF DATE: 20210125 DATE AS OF CHANGE: 20210125 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Keenan Timothy J CENTRAL INDEX KEY: 0001345567 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09225 FILM NUMBER: 21551104 MAIL ADDRESS: STREET 1: 1200 WILLOW LAKE BOULEVARD STREET 2: P.O. BOX 64683 CITY: ST. PAUL STATE: MN ZIP: 55164-0683 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 2021-01-24 0000039368 FULLER H B CO FUL 0001345567 Keenan Timothy J 1200 WILLOW LAKE BOULEVARD P.O. BOX 64683 ST. PAUL MN 55164-0683 1 VP, Gen. Counsel & Corp. Sec. Common Stock 2021-01-24 4 M 0 600.0000 52.7300 A 23072.0000 D Common Stock 2021-01-24 4 M 0 497.0000 52.7300 A 23569.0000 D Common Stock 2021-01-24 4 M 0 355.0000 52.7300 A 23924.0000 D Common Stock 2021-01-24 4 M 0 5.0000 52.7300 A 23929.0000 D Common Stock 2021-01-24 4 F 0 130.0000 52.7300 D 23799.0000 D Common Stock 2021-01-24 4 F 0 141.0000 52.7300 D 23658.0000 D Common Stock 2021-01-24 4 F 0 170.0000 52.7300 D 23488.0000 D Common Stock 5.8800 I By 401(k) Plan Performance Stock Units 0.0000 2021-01-24 4 M 0 355.0000 52.7300 D 2021-01-24 2021-01-24 Common Stock 355.0000 0.0000 D Restricted Stock Units 0.0000 2021-01-24 4 M 0 600.0000 52.7300 D 2020-01-24 2022-01-24 Common Stock 600.0000 619.1200 D Restricted Stock Units 0.0000 2021-01-24 4 M 0 497.0000 52.7300 D 2021-01-24 2023-01-24 Common Stock 497.0000 1009.6900 D Employee Stock Option (Right-to-Buy) 33.3800 2017-01-19 2026-01-19 Common Stock 16408.0000 16408.0000 D Employee Stock Option (Right-to-Buy) 39.6400 2014-01-24 2023-01-24 Common Stock 10291.0000 10291.0000 D Employee Stock Option (Right-to-Buy) 41.0000 2016-01-22 2025-01-22 Common Stock 12534.0000 12534.0000 D Employee Stock Option (Right-to-Buy) 45.0500 2020-01-24 2029-01-24 Common Stock 16483.0000 16483.0000 D Employee Stock Option (Right-to-Buy) 48.3500 2021-01-24 2030-01-24 Common Stock 14492.0000 14492.0000 D Employee Stock Option (Right-to-Buy) 48.9200 2015-01-23 2024-01-23 Common Stock 9154.0000 9154.0000 D Employee Stock Option (Right-to-Buy) 51.1000 2018-01-26 2027-01-26 Common Stock 14336.0000 14336.0000 D Employee Stock Option (Right-to-Buy) 53.5700 2019-01-25 2028-01-25 Common Stock 13100.0000 13100.0000 D Performance Stock Units 0.0000 2020-01-24 2022-01-24 Common Stock 609.1200 609.1200 D Performance Stock Units 0.0000 2019-01-25 2021-01-25 Common Stock 489.1100 489.1100 D Restricted Stock Units 0.0000 2019-01-25 2021-01-25 Common Stock 489.1100 489.1100 D This amount reflects the number of shares acquired pursuant to dividend accruals during the vesting period. Shares withheld for taxes due on 360 shares issued. Shares withheld for taxes due on 497 shares issued. Shares withheld for taxes due on 600 shares issued. Amount includes shares and dividends acquired pursuant to the H.B.Fuller Company 401(k) & Retirement Plan. These performance stock units convert into shares of common stock on a 1-for-1 basis. 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. This option is 100% vested. This option vests in three equal annual installments beginning on the date shown. 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. This amount has been adjusted to reflect a decrease in number of performance stock units from the original grant based on performance criteria. Amount also includes performance stock units acquired pursuant to a dividend equivalent reinvestment feature. Amount includes performance stock units acquired pursuant to a dividend equivalent reinvestment feature. /s/ Timothy J. Keenan 2021-01-25