0001225208-22-001027.txt : 20220126 0001225208-22-001027.hdr.sgml : 20220126 20220126173458 ACCESSION NUMBER: 0001225208-22-001027 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220124 FILED AS OF DATE: 20220126 DATE AS OF CHANGE: 20220126 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Clark Theodore M. CENTRAL INDEX KEY: 0001720031 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09225 FILM NUMBER: 22559002 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: 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 4 1 doc4.xml X0306 4 2022-01-24 0000039368 FULLER H B CO FUL 0001720031 Clark Theodore M. 1200 WILLOW LAKE BOULEVARD P.O. BOX 64683 ST. PAUL MN 55164-0683 1 Executive VP and COO Common Stock 2022-01-24 4 M 0 1675.0000 72.9400 A 3488.0000 D Common Stock 2022-01-24 4 A 0 1004.0000 72.9400 A 4492.0000 D Common Stock 2022-01-24 4 F 0 402.0000 72.9400 D 4090.0000 D Common Stock 2022-01-24 4 F 0 561.0000 72.9400 D 3529.0000 D Common Stock 10000.0000 I Clark Family Trust Employee Stock Option (Right-to-Buy) 72.9400 2022-01-24 4 A 0 15398.0000 72.9400 A 2023-01-24 2032-01-24 Common Stock 15398.0000 15398.0000 D Restricted Stock Units 0.0000 2022-01-24 4 M 0 1675.0000 72.9400 D 2021-01-24 2023-01-24 Common Stock 1675.0000 1726.2600 D Restricted Stock Units 0.0000 2022-01-24 4 A 0 2234.0000 0.0000 A 2023-01-24 2025-01-24 Common Stock 2234.0000 2234.0000 D Employee Stock Option (Right-to-Buy) 48.3500 2021-01-24 2030-01-24 Common Stock 48309.0000 48309.0000 D Employee Stock Option (Right-to-Buy) 51.8900 2022-01-27 2031-01-27 Common Stock 38376.0000 38376.0000 D Employee Stock Option (Right-to-Buy) 57.7000 2018-10-20 2027-10-20 Common Stock 83402.0000 83402.0000 D Restricted Stock Units 0.0000 2022-01-27 2024-01-27 Common Stock 4924.6100 4924.6100 D Shares withheld for taxes due on1,004 shares issued. Shares withheld for taxes due on 1,675 shares issued. This option vests in three equal annual installments beginning on the date shown. 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. Amount includes restricted stock units acquired pursuant to a dividend equivalent reinvestment feature. This option is 100% vested. /s/ Timothy J. Keenan, Attorney-in-Fact 2022-01-26