0001225208-21-001169.txt : 20210126
0001225208-21-001169.hdr.sgml : 20210126
20210126173655
ACCESSION NUMBER: 0001225208-21-001169
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: JENSEN TRACI L
CENTRAL INDEX KEY: 0001533627
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-09225
FILM NUMBER: 21555562
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
2021-01-25
0000039368
FULLER H B CO
FUL
0001533627
JENSEN TRACI L
1200 WILLOW LAKE BOULEVARD
P.O. BOX 64683
ST. PAUL
MN
55164-0683
1
Vice President
Common Stock
2021-01-25
4
M
0
813.0000
50.7500
A
17738.0000
D
Common Stock
2021-01-25
4
M
0
529.0000
50.7500
A
18267.0000
D
Common Stock
2021-01-25
4
F
0
154.0000
50.7500
D
18113.0000
D
Common Stock
2021-01-25
4
F
0
237.0000
50.7500
D
17876.0000
D
Performance Stock Units
0.0000
2021-01-25
4
M
0
529.0000
50.7500
D
2019-01-25
2021-01-25
Common Stock
529.0000
0.0000
D
Restricted Stock Units
0.0000
2021-01-25
4
M
0
813.0000
50.7500
D
2019-01-25
2021-01-25
Common Stock
813.0000
0.0000
D
Employee Stock Option (Right-to-Buy)
33.3800
2017-01-19
2026-01-19
Common Stock
29832.0000
29832.0000
D
Employee Stock Option (Right-to-Buy)
41.0000
2016-01-22
2025-01-22
Common Stock
22789.0000
22789.0000
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
14492.0000
14492.0000
D
Employee Stock Option (Right-to-Buy)
48.9200
2015-01-23
2024-01-23
Common Stock
16644.0000
16644.0000
D
Employee Stock Option (Right-to-Buy)
50.1000
2018-01-26
2027-01-26
Common Stock
23696.0000
23696.0000
D
Employee Stock Option (Right-to-Buy)
53.5700
2019-01-25
2028-01-25
Common Stock
21834.0000
21834.0000
D
Performance Stock Units
0.0000
2020-01-24
2022-01-24
Common Stock
1015.5300
1015.5300
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
1009.6900
1009.6900
D
Shares withheld for taxes due on 529 shares issued.
Shares withheld for taxes due on 813 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 is 100% vested.
This option vests in three equal annual installments beginning on the date shown.
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 restricted stock units acquired pursuant to a dividend equivalent reinvestment feature.
/s/ Timothy J. Keenan, Attorney-in-Fact
2021-01-26