0001225208-21-014618.txt : 20211208 0001225208-21-014618.hdr.sgml : 20211208 20211208130534 ACCESSION NUMBER: 0001225208-21-014618 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211201 FILED AS OF DATE: 20211208 DATE AS OF CHANGE: 20211208 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Campe Heather CENTRAL INDEX KEY: 0001609526 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09225 FILM NUMBER: 211478254 MAIL ADDRESS: STREET 1: 1200 WILLOW LAKE BLVD, 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: 1127 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 3 1 doc3.xml X0206 3 2021-12-01 0 0000039368 FULLER H B CO FUL 0001609526 Campe Heather 1200 WILLOW LAKE BOULEVARD P.O. BOX 64683 ST. PAUL MN 55164-0683 1 Sr. VP, International Growth Common Stock 1074.1900 D Employee Stock Option (Right-to-Buy) 45.0500 2020-01-24 2029-01-24 Common Stock 27472.0000 D Employee Stock Option (Right-to-Buy) 48.3500 2021-01-24 2030-01-24 Common Stock 25555.0000 D Employee Stock Option (Right-to-Buy) 48.9200 2015-01-23 2024-01-23 Common Stock 7323.0000 D Employee Stock Option (Right-to-Buy) 50.1000 2018-01-26 2027-01-26 Common Stock 23696.0000 D Employee Stock Option (Right-to-Buy) 51.8900 2022-01-27 2031-01-27 Common Stock 19520.0000 D Employee Stock Option (Right-to-Buy) 53.5700 2019-01-25 2028-01-25 Common Stock 21834.0000 D Phantom Units 0.0000 Common Stock 1838.5000 D Restricted Stock Units 0.0000 2020-01-24 2022-01-24 Common Stock 1041.0000 D Restricted Stock Units 0.0000 2021-01-24 2023-01-24 Common Stock 1799.0000 D Restricted Stock Units 0.0000 2022-01-27 2024-01-27 Common Stock 2505.0000 D Restricted Stock Units 0.0000 2022-08-01 2022-08-01 Common Stock 9985.0000 D Restricted Stock Units 0.0000 2022-11-01 2022-11-01 Common Stock 1534.0000 D 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 upon the earlier of certain termination events as specified in the Key Employee DeferredCompensation 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. These units (acquired after 12-31-04) 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. Amount includes restricted stock units acquired pursuant to a dividend equivalent reinvestment feature. These restricted stock units convert into shares of common stock on a 1-for-1 basis. These restricted stock units vest in one annual installment on the date shown. /s/ Timothy J. Keenan, Attorney-in-Fact 2021-12-08