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