0001225208-21-001173.txt : 20210126 0001225208-21-001173.hdr.sgml : 20210126 20210126173712 ACCESSION NUMBER: 0001225208-21-001173 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: Weaver Nathan D. CENTRAL INDEX KEY: 0001807831 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09225 FILM NUMBER: 21555566 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 0001807831 Weaver Nathan D. 1200 WILLOW LAKE BOULEVARD P.O. BOX 64683 ST. PAUL MN 55164-0683 1 VP, Human Resources Common Stock 2021-01-25 4 M 0 170.0000 50.7500 A 3781.5300 D Common Stock 2021-01-25 4 M 0 107.0000 50.7500 A 3888.5300 D Common Stock 2021-01-25 4 M 0 3.0000 50.7500 A 3891.5300 D Common Stock 2021-01-25 4 F 0 41.0000 50.7500 D 3850.5300 D Common Stock 2021-01-25 4 F 0 62.0000 50.7500 D 3788.5300 D Performance Stock Units 0.0000 2021-01-25 4 M 0 107.0000 50.7500 D 2021-01-25 2021-01-25 Common Stock 107.0000 0.0000 D Restricted Stock Units 0.0000 2021-01-25 4 M 0 170.0000 50.7500 D 2019-01-25 2021-01-25 Common Stock 170.0000 0.0000 D Employee Stock Option (Right-to-Buy) 26.6600 2021-04-02 2030-04-02 Common Stock 9732.0000 9732.0000 D Employee Stock Option (Right-to-Buy) 28.4000 2013-01-26 2022-01-26 Common Stock 5451.0000 5451.0000 D Employee Stock Option (Right-to-Buy) 32.3200 2013-04-12 2022-04-12 Common Stock 1797.0000 1797.0000 D Employee Stock Option (Right-to-Buy) 33.3800 2017-01-19 2026-01-19 Common Stock 9546.0000 9546.0000 D Employee Stock Option (Right-to-Buy) 39.6400 2014-01-24 2023-01-24 Common Stock 5988.0000 5988.0000 D Employee Stock Option (Right-to-Buy) 41.0000 2016-01-22 2025-01-22 Common Stock 7292.0000 7292.0000 D Employee Stock Option (Right-to-Buy) 45.0500 2020-01-24 2019-01-24 Common Stock 6115.0000 6115.0000 D Employee Stock Option (Right-to-Buy) 48.3500 2021-01-24 2030-01-24 Common Stock 5362.0000 5362.0000 D Employee Stock Option (Right-to-Buy) 48.9200 2015-01-23 2024-01-23 Common Stock 5326.0000 5326.0000 D Employee Stock Option (Right-to-Buy) 50.1000 2018-01-26 2027-01-26 Common Stock 4976.0000 4976.0000 D Employee Stock Option (Right-to-Buy) 53.5700 2019-01-25 2028-01-25 Common Stock 4585.0000 4585.0000 D Phantom Units 0.0000 Common Stock 6388.1100 6388.1100 D Restricted Stock Units 0.0000 2020-01-24 2022-01-24 Common Stock 230.3900 230.3900 D Restricted Stock Units 0.0000 2021-01-24 2023-01-24 Common Stock 375.0300 375.0300 D Restricted Stock Units 0.0000 2021-04-02 2023-04-02 Common Stock 1008.2400 1008.2400 D This amount reflects the number of shares acquired pursuant to dividend accruals during the vesting period. Shares withheld for taxes due on 110 shares issued. Shares withheld for taxes due on 170 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 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. 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