SEC Form 4 · accession 0001225208-15-002104

FULLER H B CO · FUL

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Traci L Jensen

Officer — Senior VP, Americas Adhesives

Period of report

Jan 23, 2015

Accepted (ET)

Jan 27, 2015 · 9:12 pm EST

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0000039368

Table I — non-derivative securities

Security	Date	Code	Shares	Price	A/D	Owned after	D/I
Common Stock	Jan 23, 2015	M	1,632	$40.66	A	25,694	D
Common Stock^F1	Jan 23, 2015	F	636	$40.66	D	25,058	D
Common Stock^F2,F3	Jan 24, 2015	F	935	$40.66	D	24,123	D

Table II — derivative securities

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Restricted Stock Units^F6,F4,F5	$0.00	Jan 23, 2015	M	1,632	D	—	Jan 23, 2017	Common Stock	1,632	3,318	D
Employee Stock Option (Right-to-Buy)^F7	$22.27	holding	—	—	—	—	Jan 20, 2021	Common Stock	12,658	12,658	D
Employee Stock Option (Right-to-Buy)^F8	$41.00	holding	—	—	—	—	Jan 22, 2025	Common Stock	22,789	22,789	D
Employee Stock Option (Right-to-Buy)^F9	$48.92	holding	—	—	—	—	Jan 23, 2024	Common Stock	16,644	16,644	D
Employee Stock Option (Right-to-Buy)^F10	$39.64	holding	—	—	—	—	Jan 24, 2023	Common Stock	18,712	18,712	D
Employee Stock Option (Right-to-Buy)^F11	$28.40	holding	—	—	—	—	Jan 26, 2022	Common Stock	14,278	14,278	D
Employee Stock Option (Right-to-Buy)^F7	$23.68	holding	—	—	—	—	Apr 14, 2020	Common Stock	6,223	6,223	D
Restricted Stock Units^F4,F12	$0.00	holding	—	—	—	—	Jan 22, 2018	Common Stock	5,820	5,820	D

Explanation of responses

F1Shares withheld for taxes due on 1,632 shares issues pursuant to the H.B. Fuller Company 2013 Master Stock Incentive Plan.
F10Amended and Restated Year 2000 Stock Incentive Plan: This option vests in three equal annual installments beginning on January 24, 2014.
F11Amended and Restated Year 2000 Stock Incentive Plan: This option vests in three equal annual installments beginning on January 26, 2013.
F12H.B. Fuller Company 2013 Master Incentive Plan: These restricted stock units vest in three equal annual installments beginning on January 22, 2016.
F2Shares withheld for taxes due on 2,402 shares issues pursuant to the Amended and Restated Year 2000 Stock Incentive Plan.
F3Amended and Restated Year 2000 Stock Incentive Plan: 24,398 restricted shares were awarded pursuant to H.B. Fuller Company's Amended and Restated Year 2000 Stock Incentive Plan. This amount includes 1,760 restricted shares that vested effective January 21, 2012; 1,920 restricted shares that vested in three equal annual installments beginning on December 3, 2010; 2,580 restricted shares that vested in three equal annual installments beginning on April 14, 2011; 5,228 restricted shares that vested in three equal annual installments beginning January 20, 2012; 5,770 restricted shares that will vest in three equal annual installments beginning January 26, 2013 and 7,140 shares that will vest in three equal annual installments beginning on January 24, 2014. Total amount also includes restricted shares acquired pursuant to a dividend accrual feature of the Amended and Restated Year 2000 Stock Incentive Plan.
F4H.B. Fuller Company 2013 Master Incentive Plan: These restricted stock units convert into shares of common stock on a 1-for-1 basis.
F5H.B. Fuller Company 2013 Master Incentive Plan: These restricted stock units vest in three equal annual installments beginning on January 23, 2015.
F6H.B. Fuller Company 2013 Master Incentive Plan: These restricted units include stock units acquired pursuant to a dividend equivalent reinvestment feature of the H.B. Fuller Company 2013 Master Incentive Plan.
F7Amended and Restated Year 2000 Stock Incentive Plan: This option is 100% vested.
F8H.B. Fuller Company 2013 Master Incentive Plan: This option vests in three equal annual installments beginning on January 22, 2016.
F9H.B. Fuller Company 2013 Master Incentive Plan: This option vests in three equal annual installments beginning on January 23, 2015.