SEC Form 4 · accession 0001225208-16-040494
FULLER H B CO · FUL
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Ebrahim Rezai
Officer — VP, Chief Tech. & Innovation
Period of report
Oct 12, 2016
Accepted (ET)
Oct 14, 2016 · 3:12 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 | $44.82 | Oct 12, 2016 | A | 3,781 | A | Oct 12, 2017 | Oct 12, 2026 | Common Stock | 3,781 | 3,781 | D |
| Performance Stock UnitsF3,F2,F4 | $0.00 | Oct 12, 2016 | A | 432 | A | Oct 12, 2017 | Oct 12, 2019 | Common Stock | 432 | 432 | D |
| Restricted Stock UnitsF5,F6 | $0.00 | Oct 12, 2016 | A | 432 | A | Oct 12, 2017 | Oct 12, 2019 | Common Stock | 432 | 432 | D |
Explanation of responses
- F1H.B. Fuller Company 2016 Master Incentive Plan: This option vests in three equal annual installments beginning on the date shown above. This option makes up part of the reporting person's fiscal year 2016 long-term incentive plan grant.
- F2H.B. Fuller Company 2016 Master Incentive Plan: These performance stock units convert into shares of common stock on a 1-for-1 basis.
- F3H.B. Fuller Company 2016 Master Incentive Plan: Each restricted stock unit represents a contingent right to receive one share of H.B. Fuller common stock. Prior to vesting, the number of units subject to the award will be adjusted based on the company's return on invested capital performance for the applicable year. The number of units may increase to as much as 200% or decrease as low as 0% of the initial number of units depending on the level of ROIC performance. The grant amount is shown at a target level of performance.
- F4H.B. Fuller Company 2016 Master Incentive Plan: These performance stock units vest in three annual installments beginning on the date shown 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 performance stock units make up part of the reporting person's fiscal year 2016 long-term incentive plan grant.
- F5H.B. Fuller Company 2016 Master Incentive Plan: These restricted stock units convert into shares of common stock on a 1-for-1 basis.
- F6H.B. Fuller Company 2016 Master Incentive Plan: These restricted stock units vest in three equal annual installments beginning on the date shown above. These restricted stock units make up part of the reporting person's fiscal year 2016 long-term incentive plan grant.