0001225208-22-001032.txt : 20220126 0001225208-22-001032.hdr.sgml : 20220126 20220126173539 ACCESSION NUMBER: 0001225208-22-001032 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: Malik Muhammad Shahbaz CENTRAL INDEX KEY: 0001621150 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09225 FILM NUMBER: 22559008 MAIL ADDRESS: STREET 1: 12950 WORLDGATE DRIVE STREET 2: SUITE 700 CITY: HERNDON STATE: VA ZIP: 20170 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 0001621150 Malik Muhammad Shahbaz 1200 WILLOW LAKE BOULEVARD P.O. BOX 64683 ST. PAUL MN 55164-0683 1 Senior Vice President Common Stock 2022-01-24 4 M 0 2030.0000 72.9400 A 4076.0000 D Common Stock 2022-01-24 4 M 0 628.0000 72.9400 A 4704.0000 D Common Stock 2022-01-24 4 A 0 376.0000 72.9400 A 5080.0000 D Common Stock 2022-01-24 4 F 0 114.0000 72.9400 D 4966.0000 D Common Stock 2022-01-24 4 F 0 222.0000 72.9400 D 4744.0000 D Common Stock 2022-01-24 4 F 0 656.0000 72.9400 D 4088.0000 D Employee Stock Option (Right-to-Buy) 72.9400 2022-01-24 4 A 0 10448.0000 72.9400 A 2023-01-24 2032-01-24 Common Stock 10448.0000 10448.0000 D Restricted Stock Units 0.0000 2022-01-24 4 M 0 2030.0000 72.9400 D 2022-01-24 Common Stock 2030.0000 0.0000 D Restricted Stock Units 0.0000 2022-01-24 4 M 0 628.0000 72.9400 D 2021-01-24 2023-01-24 Common Stock 628.0000 648.2300 D Restricted Stock Units 0.0000 2022-01-24 4 A 0 1516.0000 0.0000 A 2023-01-24 2025-01-24 Common Stock 1516.0000 1516.0000 D Employee Stock Option (Right-to-Buy) 48.3500 2021-01-24 2030-01-24 Common Stock 18115.0000 18115.0000 D Employee Stock Option (Right-to-Buy) 51.8900 2022-01-27 2031-01-27 Common Stock 16605.0000 16605.0000 D Restricted Stock Units 0.0000 2022-01-27 2024-01-27 Common Stock 2130.8900 2130.8900 D Shares withheld for taxes due on 376 shares issued. Shares withheld for taxes due on 628 shares issued. Shares withheld for taxes due on 2,030 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 two equal annual installments beginning on January 24, 2021. 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. /s/ Timothy J. Keenan, Attorney-in-Fact 2022-01-26