SEC Form 4/A · accession 0001225208-15-002222
FULLER H B CO · FUL
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
James Owens
Officer — President and CEO
Period of report
Jan 22, 2015
Accepted (ET)
Jan 28, 2015 · 5:46 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000039368
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option (Right-to-Buy)F1 | $41.00 | Jan 22, 2015 | A | 112,727 | A | — | Jan 22, 2025 | Common Stock | 112,727 | 112,727 | D |
| Restricted Stock UnitsF2,F3 | $0.00 | Jan 22, 2015 | A | 28,792 | A | — | Jan 22, 2018 | Common Stock | 28,792 | 28,792 | D |
Explanation of responses
- F1H.B. Fuller Company 2013 Master Incentive Plan: This option vests in three equal annual installments beginning on January 22, 2016.
- F2H.B. Fuller Company 2013 Master Incentive Plan: These restricted stock units convert into shares of common stock on a 1-for-1 basis.
- F3H.B. Fuller Company 2013 Master Incentive Plan: These restricted stock units vest in three equal annual installments beginning on January 22, 2016, subject to one or more performance measures being achieved.
Remarks
This Amendment corrects the grant amounts that were reported on the original Form 4 filed on January 27, 2015. These amounts were incorrect due to administrative error.