SEC Form 4 · accession 0001225208-15-015424
FULLER H B CO · FUL
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
A later amendment supersedes this filing — read the amendment. The figures below are kept as originally reported (version chain, not an overwrite).
Reporting owner
Traci L Jensen
Officer — Senior VP, Americas Adhesives
Period of report
Jul 9, 2015
Accepted (ET)
Jul 13, 2015 · 6:36 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 | Jul 9, 2015 | M | 14,278 | $28.40 | A | 37,733 | D | |
| Common StockF1,F2,F3 | Jul 9, 2015 | F | 11,600 | $40.0731 | D | 26,133 | 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)F4 | $28.40 | Jul 9, 2015 | M | 14,278 | D | — | Jan 26, 2022 | Common Stock | 14,278 | 0 | D |
| Employee Stock Option (Right-to-Buy)F4 | $22.27 | holding | — | — | — | — | Jan 20, 2021 | Common Stock | 12,658 | 12,658 | D |
| Employee Stock Option (Right-to-Buy)F5 | $41.00 | holding | — | — | — | — | Jan 22, 2025 | Common Stock | 22,789 | 22,789 | D |
| Employee Stock Option (Right-to-Buy)F6 | $48.92 | holding | — | — | — | — | Jan 23, 2024 | Common Stock | 16,644 | 16,644 | D |
| Employee Stock Option (Right-to-Buy)F7 | $39.64 | holding | — | — | — | — | Jan 24, 2023 | Common Stock | 18,712 | 18,712 | D |
| Employee Stock Option (Right-to-Buy)F4 | $23.68 | holding | — | — | — | — | Apr 14, 2020 | Common Stock | 6,223 | 6,223 | D |
| Restricted Stock UnitsF8,F9 | $0.00 | holding | — | — | — | — | Jan 22, 2018 | Common Stock | 5,854 | 5,854 | D |
| Restricted Stock UnitsF11,F8,F10 | $0.00 | holding | — | — | — | — | Jan 23, 2017 | Common Stock | 3,337 | 3,337 | D |
Explanation of responses
- F1Shares used to satisfy exercise price and tax withholding due.
- F10H.B. Fuller Company 2013 Master Incentive Plan: These restricted stock units vest in three equal annual installments beginning on January 23, 2015.
- F11H.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.
- F2The price reported is the weighted average sale price for the transaction reported. The prices received ranged from $39.9993 to $40.13. The reporting person will provide to the issuer, a security holder of the issuer, or the SEC staff, upon request, full information regarding the number of shares sold at each price within the range.
- 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 vested 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.
- F4Amended and Restated Year 2000 Stock Incentive Plan: This option is 100% vested.
- F5H.B. Fuller Company 2013 Master Incentive Plan: This option vests in three equal annual installments beginning on January 22, 2016.
- F6H.B. Fuller Company 2013 Master Incentive Plan: This option vests in three equal annual installments beginning on January 23, 2015.
- F7Amended and Restated Year 2000 Stock Incentive Plan: This option vests in three equal annual installments beginning on January 24, 2014.
- F8H.B. Fuller Company 2013 Master Incentive Plan: These restricted stock units convert into shares of common stock on a 1-for-1 basis.
- F9H.B. Fuller Company 2013 Master Incentive Plan: These restricted stock units vest in three equal annual installments beginning on January 22, 2016.