0001225208-24-003519.txt : 20240304
0001225208-24-003519.hdr.sgml : 20240304
20240304203115
ACCESSION NUMBER: 0001225208-24-003519
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240301
FILED AS OF DATE: 20240304
DATE AS OF CHANGE: 20240304
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MITAU LEE R
CENTRAL INDEX KEY: 0001185489
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-09225
FILM NUMBER: 24717846
MAIL ADDRESS:
STREET 1: P O BOX 1441
CITY: MINNEAPOLIS
STATE: MN
ZIP: 55440-1441
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: FULLER H B CO
CENTRAL INDEX KEY: 0000039368
STANDARD INDUSTRIAL CLASSIFICATION: ADHESIVES & SEALANTS [2891]
ORGANIZATION NAME: 08 Industrial Applications and Services
IRS NUMBER: 410268370
STATE OF INCORPORATION: MN
FISCAL YEAR END: 1202
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
2024-03-01
0000039368
FULLER H B CO
FUL
0001185489
MITAU LEE R
1200 WILLOW LAKE BOULEVARD
P.O. BOX 64683
ST. PAUL
MN
55164-0683
1
0
Common Stock
42671.0000
I
By Trust
Stock Units
0.0000
2024-03-01
4
A
0
743.4300
79.5300
A
Common Stock
743.4300
153228.6200
D
Stock Units
0.0000
1988-08-08
Common Stock
50141.9500
50141.9500
D
On October 20, 2021 and October 27, 2021, the reporting person withdrew a total of 34,949 shares of H.B. Fuller common stock from a grantor retained annuity trust established for the benefit of himself, his adult children and their descendants. In exchange for the shares, the reporting person contributed to the trust bonds and cash in the principal amount of $2,391,161.39. The reporting person believes that his withdrawal of shares from the trust, and their subsequent contribution into an existing revocable trust, constitute a change in form of beneficial ownership of the shares, exempted by Rule 16a-13 under the Securities Exchange Act of 1934.
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.
These units (acquired before 12-31-04) 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.
/s/ Debra L. Hovland, Attorney-in-Fact
2024-03-04