0001225208-21-001106.txt : 20210125
0001225208-21-001106.hdr.sgml : 20210125
20210125182217
ACCESSION NUMBER: 0001225208-21-001106
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: Malik Muhammad Shahbaz
CENTRAL INDEX KEY: 0001621150
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-09225
FILM NUMBER: 21551105
MAIL ADDRESS:
STREET 1: 12950 WORLDGATE DRIVE
STREET 2: SUITE 700
CITY: HERNDON
STATE: VA
ZIP: 20170
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
0001621150
Malik Muhammad Shahbaz
1200 WILLOW LAKE BOULEVARD
P.O. BOX 64683
ST. PAUL
MN
55164-0683
1
Senior Vice President
Common Stock
2021-01-24
4
M
0
2008.0000
52.7300
A
2008.0000
D
Common Stock
2021-01-24
4
M
0
620.0000
52.7300
A
2628.0000
D
Common Stock
2021-01-24
4
M
0
444.0000
52.7300
A
3072.0000
D
Common Stock
2021-01-24
4
M
0
5.0000
52.7300
A
3077.0000
D
Common Stock
2021-01-24
4
F
0
159.0000
52.7300
D
2918.0000
D
Common Stock
2021-01-24
4
F
0
220.0000
52.7300
D
2698.0000
D
Common Stock
2021-01-24
4
F
0
652.0000
52.7300
D
2046.0000
D
Performance Stock Units
0.0000
2021-01-24
4
M
0
444.0000
52.7300
D
2021-01-24
2021-01-24
Common Stock
444.0000
0.0000
D
Restricted Stock Units
0.0000
2021-01-24
4
M
0
2008.0000
52.7300
D
2022-01-24
Common Stock
2008.0000
2009.8400
D
Restricted Stock Units
0.0000
2021-01-24
4
M
0
620.0000
52.7300
D
2021-01-24
2023-01-24
Common Stock
620.0000
1263.1100
D
Employee Stock Option (Right-to-Buy)
48.3500
2021-01-24
2030-01-24
Common Stock
18115.0000
18115.0000
D
This amount reflects the number of shares acquired pursuant to dividend accruals during the vesting period.
Shares withheld for taxes due on 449 shares issued.
Shares withheld for taxes due on 620 shares issued.
Shares withheld for taxes due on 2,008 shares issued.
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 two equal annual installments beginning on January 24, 2021.
Amount includes restricted stock units acquired pursuant to a dividend equivalent reinvestment feature.
These restricted stock units vest in three equal annual installments beginning on the date shown.
This option vests in three equal annual installments beginning on the date shown.
/s/ Timothy J. Keenan, Attorney-in-Fact
2021-01-25