SEC Form 4 · accession 0001225208-16-024788
FULLER H B CO · FUL
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Heather Campe
Officer — VP, Asia Pacific
Period of report
Jan 22, 2016
Accepted (ET)
Jan 26, 2016 · 8:01 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 | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Jan 22, 2016 | M | 1,069 | $34.72 | A | 3,876 | D | |
| Common StockF1 | Jan 22, 2016 | F | 417 | $34.72 | D | 3,459 | D | |
| Common Stock | Jan 23, 2016 | M | 727 | $34.72 | A | 4,186 | D | |
| Common StockF2 | Jan 23, 2016 | F | 284 | $34.72 | D | 3,902 | D | |
| Common Stock | Jan 24, 2016 | M | 802 | $34.72 | A | 4,704 | D | |
| Common StockF3,F4 | Jan 24, 2016 | F | 263 | $34.72 | D | 4,441 | 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 UnitsF7,F5,F6 | $0.00 | Jan 22, 2016 | M | 1,069 | D | — | Jan 22, 2018 | Common Stock | 1,069 | 2,172 | D |
| Restricted Stock UnitsF7,F5,F8 | $0.00 | Jan 23, 2016 | M | 727 | D | — | Jan 23, 2017 | Common Stock | 727 | 750 | D |
| Restricted Stock UnitsF9,F10 | $0.00 | Jan 24, 2016 | M | 802 | D | — | Jan 24, 2016 | Common Stock | 802 | 0 | D |
| Employee Stock Option (Right-to-Buy)F11 | $33.38 | holding | — | — | — | — | Jan 19, 2026 | Common Stock | 19,689 | 19,689 | D |
| Employee Stock Option (Right-to-Buy)F12 | $22.27 | holding | — | — | — | — | Jan 20, 2021 | Common Stock | 2,013 | 2,013 | D |
| Employee Stock Option (Right-to-Buy)F13 | $41.00 | holding | — | — | — | — | Jan 22, 2025 | Common Stock | 12,534 | 12,534 | D |
| Employee Stock Option (Right-to-Buy)F14 | $48.92 | holding | — | — | — | — | Jan 23, 2024 | Common Stock | 7,323 | 7,323 | D |
| Employee Stock Option (Right-to-Buy)F12 | $39.64 | holding | — | — | — | — | Jan 24, 2023 | Common Stock | 5,988 | 5,988 | D |
| Employee Stock Option (Right-to-Buy)F12 | $28.40 | holding | — | — | — | — | Jan 26, 2022 | Common Stock | 1,998 | 1,998 | D |
| Employee Stock Option (Right-to-Buy)F12 | $20.57 | holding | — | — | — | — | Dec 3, 2019 | Common Stock | 1,446 | 1,446 | D |
| Restricted Stock UnitsF5,F15,F16 | $0.00 | holding | — | — | — | — | — | Common Stock | 2,252 | 2,252 | D |
| Restricted Stock UnitsF5,F17 | $0.00 | holding | — | — | — | — | Jan 19, 2019 | Common Stock | 2,252 | 2,252 | D |
Explanation of responses
- F1Shares withheld for taxes due on 1,069 shares issued pursuant to the H.B. Fuller Company 2013 Master Stock Incentive Plan.
- F10Amended and Restated Year 2000 Stock Incentive Plan: These restricted stock units are 100% vested.
- F11H.B. Fuller Company 2013 Master Incentive Plan: This option vests in three equal installments beginning on January 19, 2017. This option makes up part of the reporting person's fiscal year 2016 long-term incentive plan grant.
- F12Amended and Restated Year 2000 Stock Incentive Plan: This option is 100% vested.
- F13H.B. Fuller Company 2013 Master Incentive Plan: This option vests in three equal annual installments beginning on January 22, 2016.
- F14H.B. Fuller Company 2013 Master Incentive Plan: This option vests in three equal annual installments beginning on January 23, 2015.
- F15H.B. Fuller Company 2013 Master Incentive Plan: These restricted stock units vest in three annual installments beginning on January 19, 2017 upon H.B. Fuller achieving return on invested capital at least at the threshold level of performance in each year of the three years of vesting. These restricted stock units make up part of the reporting person's fiscal year 2016 long-term incentive plan grant.
- F16These restricted stock units expire on January 19, 2019.
- F17H.B. Fuller Company 2013 Master Incentive Plan: These restricted stock units vest in three equal annual installments beginning on January 19, 2017. These restricted stock units make up part of the reporting person's fiscal year 2016 long-term incentive plan grant.
- F2Shares withheld for taxes due on 727 shares issued pursuant to the H.B. Fuller Company 2013 Master Stock Incentive Plan.
- F3Shares withheld for taxes due on 802 shares issued pursuant to the Amended and Restated Year 2000 Stock Incentive Plan.
- F4Amended and Restated Year 2000 Stock Incentive Plan: 283.75 restricted shares were awarded pursuant to H.B. Fuller Company's Amended and Restated Year 2000 Stock Incentive Plan and vested on January 26, 2015. Amount also includes restricted shares acquired pursuant to a dividend accrual feature of the Amended and Restated Year 2000 Stock Incentive Plan.
- F5H.B. Fuller Company 2013 Master Incentive Plan: These restricted stock units convert into shares of common stock on a 1-for-1 basis.
- F6H.B. Fuller Company 2013 Master Incentive Plan: These restricted stock units vest in three equal annual installments beginning on January 22, 2016.
- F7H.B. Fuller Company 2013 Master 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.
- F8H.B. Fuller Company 2013 Master Incentive Plan: These restricted stock units vest in three equal annual installments beginning on January 23, 2015.
- F9Amended and Restated Year 2000 Stock Incentive Plan: These restricted stock units convert into shares of common stock on a 1-for-1 basis.