0001225208-21-001167.txt : 20210126 0001225208-21-001167.hdr.sgml : 20210126 20210126173641 ACCESSION NUMBER: 0001225208-21-001167 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210125 FILED AS OF DATE: 20210126 DATE AS OF CHANGE: 20210126 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: 21555557 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 2021-01-25 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 2021-01-25 4 M 0 610.0000 50.7500 A 26365.0000 D Common Stock 2021-01-25 4 M 0 396.0000 50.7500 A 26761.0000 D Common Stock 2021-01-25 4 F 0 138.0000 50.7500 D 26623.0000 D Common Stock 2021-01-25 4 F 0 212.0000 50.7500 D 26411.0000 D Performance Stock Units 0.0000 2021-01-25 4 M 0 396.0000 50.7500 D 2019-01-25 2021-01-25 Common Stock 396.0000 0.0000 D Restricted Stock Units 0.0000 2021-01-25 4 M 0 610.0000 50.7500 D 2019-01-25 2021-01-25 Common Stock 610.0000 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 1015.5200 1015.5200 D Phantom Units 0.0000 Common Stock 2938.3800 2938.3800 D Restricted Stock Units 0.0000 2020-01-24 2022-01-24 Common Stock 1030.5500 1030.5500 D Restricted Stock Units 0.0000 2021-01-24 2023-01-24 Common Stock 2019.3900 2019.3900 D Shares withheld for taxes due on 396 shares issued. Shares withheld for taxes due on 610 shares issued. 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. 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. This option vests in three equal annual installments beginning on the date shown. This option is 100% vested. 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. 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. Amount includes restricted stock units acquired pursuant to a dividend equivalent reinvestment feature. /s/ Timothy J. Keenan, Attorney-in-Fact 2021-01-26