0001225208-23-010594.txt : 20231201 0001225208-23-010594.hdr.sgml : 20231201 20231201150823 ACCESSION NUMBER: 0001225208-23-010594 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231130 FILED AS OF DATE: 20231201 DATE AS OF CHANGE: 20231201 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FLORNESS DANIEL L CENTRAL INDEX KEY: 0001017427 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09225 FILM NUMBER: 231459168 MAIL ADDRESS: STREET 1: FASTENAL CO STREET 2: 2001 THEURER BLVD CITY: WINONA STATE: MN ZIP: 55987 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: 1125 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 X0508 4 2023-11-30 0000039368 FULLER H B CO FUL 0001017427 FLORNESS DANIEL L 1200 WILLOW LAKE BOULEVARD P.O. BOX 64683 ST. PAUL MN 55164-0683 1 0 Common Stock 1351.0000 D Stock Units 0.0000 2023-11-30 4 A 0 290.7000 75.6800 A Common Stock 290.7000 21515.6100 D 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. flornesspoa.txt /s/ Debra L. Hovland, Attorney-in-Fact 2023-12-01