0001225208-21-001109.txt : 20210125
0001225208-21-001109.hdr.sgml : 20210125
20210125182233
ACCESSION NUMBER: 0001225208-21-001109
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: Tometich Andrew E.
CENTRAL INDEX KEY: 0001786083
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-09225
FILM NUMBER: 21551109
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
2021-01-24
0000039368
FULLER H B CO
FUL
0001786083
Tometich Andrew E.
1200 WILLOW LAKE BOULEVARD
P.O. BOX 64683
ST. PAUL
MN
55164-0683
1
Executive VP, HHC
Common Stock
2021-01-24
4
M
0
1506.0000
52.7300
A
9260.0000
D
Common Stock
2021-01-24
4
M
0
994.0000
52.7300
A
10254.0000
D
Common Stock
2021-01-24
4
M
0
711.0000
52.7300
A
10965.0000
D
Common Stock
2021-01-24
4
M
0
9.0000
52.7300
A
10974.0000
D
Common Stock
2021-01-24
4
F
0
259.0000
52.7300
D
10715.0000
D
Common Stock
2021-01-24
4
F
0
357.0000
52.7300
D
10358.0000
D
Common Stock
2021-01-24
4
F
0
467.0000
52.7300
D
9891.0000
D
Performance Stock Units
0.0000
2021-01-24
4
M
0
711.0000
52.7300
D
2021-01-24
2021-01-24
Common Stock
711.0000
0.0000
D
Restricted Stock Units
0.0000
2021-01-24
4
M
0
1506.0000
52.7300
D
2022-01-24
Common Stock
1506.0000
1507.3900
D
Restricted Stock Units
0.0000
2021-01-24
4
M
0
994.0000
52.7300
D
2021-01-24
2023-01-24
Common Stock
994.0000
2019.3900
D
Employee Stock Option (Right-to-Buy)
46.1600
2019-10-17
2029-10-03
Common Stock
52301.0000
52301.0000
D
Employee Stock Option (Right-to-Buy)
48.3500
2030-01-24
Common Stock
14492.0000
14492.0000
D
Employee Stock Option (Right-to-Buy)
48.3500
2021-01-24
2030-01-24
Common Stock
28985.0000
28985.0000
D
This amount reflects the number of shares acquired pursuant to dividend accruals during the vesting period.
Shares withheld for taxes due on 720 shares issued.
Shares withheld for taxes due on 994 shares issued.
Shares withheld for taxes due on 1,506 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 is 100% vested.
This option vests in two equal annual installments beginning on January 24, 2021.
This option vests in three equal annual installments beginning on the date shown.
/s/ Timothy J. Keenan, Attorney-in-Fact
2021-01-25