SEC Form 4 · accession 0001225208-16-038753
FULLER H B CO · FUL
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Ann WH Simonds
Director
Period of report
Aug 31, 2016
Accepted (ET)
Sep 2, 2016 · 2:49 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 StockF1 | holding | — | — | — | 1,346 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock UnitsF4,F2,F3 | $0.00 | Aug 31, 2016 | A | 521 | A | — | — | Common Stock | 521 | 12,713 | D |
Explanation of responses
- F12009 Director Stock Incentive Plan: These restricted shares were awarded pursuant to H.B. Fuller Company's 2009 Director Stock Incentive Plan and will vest effective October 3, 2016. This amount includes shares acquired pursuant to a dividend reinvestment feature of the 2009 Director Stock Incentive Plan.
- F2Deferred Compensation Plan: These units (acquired after 12-31-04) convert into shares of common stock on a 1-for-1 basis.
- F3Directors' Deferred Compensation Plan: These units (acquired after 12-31-04) will be converted into shares of common stock upon retirement, death, disability or certain specified events, all as defined in such plan, subject to holding periods required by law.
- F4Directors' Deferred Compensation Plan Dividend Reinvestment: This amount (acquired after 12-31-04) includes stock units acquired pursuant to a dividend equivalent feature of the Directors' DeferredCompensation Plan.