SEC Form 4 · accession 0001225208-15-019288
FULLER H B CO · FUL
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Patrick M. Kivits
Officer — Senior VP, EIMEA
Period of report
Oct 1, 2015
Accepted (ET)
Oct 5, 2015 · 4:53 pm EDT
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 | $34.43 | Oct 1, 2015 | A | 7,207 | A | — | Oct 1, 2025 | Common Stock | 7,207 | 7,207 | D |
| Restricted Stock UnitsF2,F3 | $0.00 | Oct 1, 2015 | A | 1,840 | A | — | Oct 1, 2018 | Common Stock | 1,840 | 1,840 | D |
Explanation of responses
- F1H.B. Fuller Company 2013 Master Incentive Plan: This option vests in three equal annual installments beginning on October 1, 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 October 1, 2016.