SEC Form 4 · accession 0001225208-15-010473

FULLER H B CO · FUL

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

Reporting owner

Ann B Parriott

Officer — VP, Human Resources

Period of report

Apr 27, 2015

Accepted (ET)

Apr 28, 2015 · 2:26 pm EDT

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	Nature of ownership
Common Stock	Apr 27, 2015	S	1,083	$42.80	D	0	I	By 401(k) Plan
Common Stock^F1	holding	—	—		—	23,543	D

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)^F2	$22.27	holding	—	—	—	—	Jan 20, 2021	Common Stock	15,822	15,822	D
Employee Stock Option (Right-to-Buy)^F3	$41.00	holding	—	—	—	—	Jan 22, 2025	Common Stock	12,534	12,534	D
Employee Stock Option (Right-to-Buy)^F4	$48.92	holding	—	—	—	—	Jan 23, 2024	Common Stock	10,527	10,527	D
Employee Stock Option (Right-to-Buy)^F5	$39.64	holding	—	—	—	—	Jan 24, 2023	Common Stock	11,788	11,788	D
Employee Stock Option (Right-to-Buy)^F2	$28.40	holding	—	—	—	—	Jan 26, 2022	Common Stock	15,576	15,576	D
Employee Stock Option (Right-to-Buy)^F2	$20.57	holding	—	—	—	—	Dec 3, 2019	Common Stock	17,505	17,505	D
Employee Stock Option (Right-to-Buy)^F4	$14.15	holding	—	—	—	—	Dec 4, 2018	Common Stock	16,822	16,822	D
Employee Stock Option (Right-to-Buy)^F2	$26.65	holding	—	—	—	—	Dec 6, 2017	Common Stock	14,200	14,200	D
Restricted Stock Units^F6,F7	$0.00	holding	—	—	—	—	Jan 22, 2018	Common Stock	3,210	3,210	D
Restricted Stock Units^F9,F6,F8	$0.00	holding	—	—	—	—	Jan 23, 2017	Common Stock	2,104	2,104	D
Restricted Stock Units^F12,F10,F11	$0.00	holding	—	—	—	—	Jan 24, 2016	Common Stock	1,565	1,565	D

Explanation of responses

F1Amended and Restated Year 2000 Stock Incentive Plan: 35,558 restricted shares were awarded pursuant to H.B. Fuller Company's Amended and Restated Year 2000 Stock Incentive Plan and are 100% vested. Total amount also includes restricted shares acquired pursuant to a dividend accrual feature of the Amended and Restated Year 2000 Stock Incentive Plan.
F10Amended and Restated Year 2000 Stock Incentive Plan: These restricted stock units convert into shares of common stock on a 1-for-1 basis.
F11Amended and Restated Year 2000 Stock Incentive Plan: These restricted stock units are 100% vested.
F12Amended and Restated Year 2000 Stock Incentive Plan: These restricted units include stock units acquired pursuant to a dividend equivalent reinvestment feature of H.B. Fuller Company's Amended and Restated Year 2000 Stock Incentive Plan.
F2Amended and Restated Year 2000 Stock Incentive Plan: This option is 100% vested.
F3H.B. Fuller Company 2013 Master Incentive Plan: This option vests in three equal annual installments beginning on January 22, 2016.
F4H.B. Fuller Company 2013 Master Incentive Plan: This option vests in three equal annual installments beginning on January 23, 2015.
F5Amended and Restated Year 2000 Stock Incentive Plan: This option vests in three equal annual installments beginning on January 24, 2014.
F6H.B. Fuller Company 2013 Master Incentive Plan: These restricted stock units convert into shares of common stock on a 1-for-1 basis.
F7H.B. Fuller Company 2013 Master Incentive Plan: These restricted stock units vest in three equal annual installments beginning on January 22, 2016.
F8H.B. Fuller Company 2013 Master Incentive Plan: These restricted stock units vest in three equal annual installments beginning on January 23, 2015.
F9H.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.