0001225208-21-004028.txt : 20210301
0001225208-21-004028.hdr.sgml : 20210301
20210301155746
ACCESSION NUMBER: 0001225208-21-004028
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210226
FILED AS OF DATE: 20210301
DATE AS OF CHANGE: 20210301
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MITAU LEE R
CENTRAL INDEX KEY: 0001185489
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-09225
FILM NUMBER: 21697567
MAIL ADDRESS:
STREET 1: P O BOX 1441
CITY: MINNEAPOLIS
STATE: MN
ZIP: 55440-1441
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
2021-02-26
0000039368
FULLER H B CO
FUL
0001185489
MITAU LEE R
1200 WILLOW LAKE BOULEVARD
P.O. BOX 64683
ST. PAUL
MN
55164-0683
1
Common Stock
42671.0000
I
By GRAT
Stock Units
0.0000
2021-02-26
4
A
0
843.5900
56.0700
A
Common Stock
843.5900
132202.0700
D
Stock Units
0.0000
1988-08-08
Common Stock
48547.0500
48547.0500
D
These shares have been held in a series of grantor retained annuity trusts since January 24, 2020.
These units convert into shares of common stock on a 1-for-1 basis.
These units will be converted into shares of common stock upon retirement, death, disability or certain specified events, all as defined in such plan, subject to holding periods required by law.
This amount includes stock units acquired pursuant to a dividend equivalent feature of the Directors' Deferred Compensation Plan.
These units (acquired before 12-31-04) will be converted into shares of common stock upon retirement, death, disability or certain specified events, all as defined in such plan, subject to holding periods required by law.
The reporting person no longer has a reportable beneficial ownership in 100 shares of common stock owned by his daughter and included in the reporting person's prior ownership reports.
/s/ Timothy J. Keenan, Attorney-in-Fact
2021-03-01