0001225208-21-001172.txt : 20210126 0001225208-21-001172.hdr.sgml : 20210126 20210126173708 ACCESSION NUMBER: 0001225208-21-001172 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: Owens James CENTRAL INDEX KEY: 0001443909 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09225 FILM NUMBER: 21555565 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 0001443909 Owens James 1200 WILLOW LAKE BOULEVARD P.O. BOX 64683 ST. PAUL MN 55164-0683 1 President and CEO Common Stock 2021-01-25 4 M 0 5475.0000 50.7500 A 224136.7760 D Common Stock 2021-01-25 4 M 0 3559.0000 50.7500 A 227695.7760 D Common Stock 2021-01-25 4 F 0 1624.0000 50.7500 D 226071.7760 D Common Stock 2021-01-25 4 F 0 2369.0000 50.7500 D 223702.7760 D Common Stock 360.0400 I By 401(k) Plan Common Stock 280.0000 I By Son Performance Stock Units 0.0000 2021-01-25 4 M 0 3559.0000 50.7500 D 2019-01-25 2021-01-25 Common Stock 3559.0000 0.0000 D Performance Stock Units (CEO) 0.0000 2021-01-25 4 M 0 5475.0000 50.7500 D 2019-01-25 2021-01-25 Common Stock 5475.0000 0.0000 D Employee Stock Option (Right-to-Buy) 28.4000 2013-01-26 2022-01-26 Common Stock 38941.0000 38941.0000 D Employee Stock Option (Right-to-Buy) 33.3800 2017-01-19 2026-01-19 Common Stock 182039.0000 182039.0000 D Employee Stock Option (Right-to-Buy) 39.6400 2014-01-24 2023-01-24 Common Stock 80697.0000 80697.0000 D Employee Stock Option (Right-to-Buy) 41.0000 2016-01-22 2025-01-22 Common Stock 112727.0000 112727.0000 D Employee Stock Option (Right-to-Buy) 45.0400 2020-01-24 2029-01-24 Common Stock 226403.0000 226403.0000 D Employee Stock Option (Right-to-Buy) 48.3500 2021-01-24 2030-01-24 Common Stock 238872.0000 238872.0000 D Employee Stock Option (Right-to-Buy) 48.9200 2015-01-23 2024-01-23 Common Stock 79061.0000 79061.0000 D Employee Stock Option (Right-to-Buy) 50.1000 2018-01-26 2027-01-26 Common Stock 151826.0000 151826.0000 D Employee Stock Option (Right-to-Buy) 53.5700 2019-01-25 2028-01-25 Common Stock 146887.0000 146887.0000 D Performance Stock Units 0.0000 2020-01-24 2022-01-24 Common Stock 8366.8300 8366.8300 D Performance Stock Units (CEO) 0.0000 2020-01-24 2022-01-24 Common Stock 8491.8600 8491.8600 D Performance Stock Units (CEO) 0.0000 2021-01-24 2023-01-24 Common Stock 16401.0000 16401.0000 D Shares withheld for taxes due on 3,559 shares issued. Shares withheld for taxes due on 5,475 shares issued. This amount includes shares and dividends acquired pursuant to the H.B.Fuller Company 401(k) & Retirement Plan. Held jointly by spouse and son. 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 performance stock units vest in three equal annual installments beginning on the date shown, subject to one or more performance measures being achieved. 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 performance stock units acquired pursuant to a dividend equivalent reinvestment feature. These performance stock units vest in three equal annual installments beginning on the date shown only if one or more of the performance measures in the CEO's short-term incentive program measures are met at the threshold level for fiscal 2020 as determined by the Compensation Committee. /s/ Timothy J. Keenan, Attorney-in-Fact 2021-01-26