SEC Form 4 · accession 0001225208-17-001549
FULLER H B CO · FUL
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Elin E. Gabriel
Officer — VP, Global Operations
Period of report
Jan 22, 2017
Accepted (ET)
Jan 24, 2017 · 4:23 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, 2017 | M | 1,181 | $48.30 | A | 3,494 | D | |
| Common StockF1 | Jan 22, 2017 | F | 445 | $48.30 | D | 3,049 | 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 UnitsF4,F2,F3 | $0.00 | Jan 22, 2017 | M | 1,181 | D | — | Jan 22, 2018 | Common Stock | 1,181 | 1,219 | D |
| Employee Stock Option (Right-to-Buy)F5 | $33.38 | holding | — | — | — | — | Jan 19, 2026 | Common Stock | 16,408 | 16,408 | D |
| Employee Stock Option (Right-to-Buy)F6 | $41.00 | holding | — | — | — | — | Jan 22, 2025 | Common Stock | 13,673 | 13,673 | D |
| Employee Stock Option (Right-to-Buy)F7 | $47.94 | holding | — | — | — | — | Jul 8, 2024 | Common Stock | 5,637 | 5,637 | D |
| Performance Stock UnitsF10,F8,F9 | $0.00 | holding | — | — | — | Jan 19, 2017 | Jan 19, 2019 | Common Stock | 1,273 | 1,273 | D |
| Phantom UnitsF13,F11,F12 | $0.00 | holding | — | — | — | — | — | Common Stock | 605 | 605 | D |
| Restricted Stock UnitsF4,F2,F14 | $0.00 | holding | — | — | — | — | Jan 19, 2019 | Common Stock | 1,275 | 1,275 | D |
| Restricted Stock UnitsF4,F2,F15 | $0.00 | holding | — | — | — | — | Jul 8, 2017 | Common Stock | 582 | 582 | D |
Explanation of responses
- F1Shares withheld for taxes due on 1,181 shares issued pursuant to the H.B. Fuller Company 2013 Master Stock Incentive Plan.
- F10H.B. Fuller Company 2013 Master Incentive Plan: This amount has been adjusted to reflect the increase in number of performance stock units of the original grant based on performance criteria. Amount also includes performance stock units acquired pursuant to a dividend equivalent reinvestment feature of the H.B. Fuller Company 2013 Master Incentive Plan.
- F11Deferred Compensation Plan: These units (acquired after 12-31-04) convert into shares of common stock on a 1-for-1 basis.
- F12Deferred Compensation Plan: These units (acquired after 12-31-04) convert into shares of common stock upon the earlier of certain termination events as specified in the Key Employee Deferred Compensation Plan or such earlier date as selected by the participant, subject to holding periods required by law.
- F13Key Employee Deferred Compensation Plan Dividend Reinvestment: This amount (acquired after 12-31-04) includes stock units acquired pursuant to a dividend equivalent feature of the Key Employee Deferred Compensation Plan.
- F14H.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.
- F15H.B. Fuller Company 2013 Master Incentive Plan: These restricted stock units vest in three equal annual installments beginning on July 8, 2015.
- 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 January 22, 2016.
- F4H.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.
- F5H.B. Fuller Company 2013 Master Incentive Plan: This option vests in three equal annual installments beginning on January 19, 2017.
- F6H.B. Fuller Company 2013 Master Incentive Plan: This option vests in three equal annual installments beginning on January 22, 2016.
- F7H.B. Fuller Company 2013 Master Incentive Plan: This option vests in three equal annual installments beginning on July 8, 2015.
- F8H.B. Fuller Company 2013 Master Incentive Plan: These performance stock units convert into shares of common stock on a 1-for-1 basis.
- F9H.B. Fuller Company 2013 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.