SEC Form 4 · accession 0001225208-17-001551
FULLER H B CO · FUL
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Traci L Jensen
Officer — Sr.VP, Global Const Products
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 | 1,970 | $48.30 | A | 23,979 | D | |
| Common StockF1,F2 | Jan 22, 2017 | F | 627 | $48.30 | D | 23,352 | 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 UnitsF5,F3,F4 | $0.00 | Jan 22, 2017 | M | 1,970 | D | — | Jan 22, 2018 | Common Stock | 1,970 | 2,030 | D |
| Employee Stock Option (Right-to-Buy)F6 | $22.27 | holding | — | — | — | — | Jan 20, 2021 | Common Stock | 12,658 | 12,658 | D |
| Employee Stock Option (Right-to-Buy)F6 | $23.68 | holding | — | — | — | — | Apr 14, 2020 | Common Stock | 6,223 | 6,223 | D |
| Employee Stock Option (Right-to-Buy)F7 | $33.38 | holding | — | — | — | — | Jan 19, 2026 | Common Stock | 29,832 | 29,832 | D |
| Employee Stock Option (Right-to-Buy)F6 | $39.64 | holding | — | — | — | — | Jan 24, 2023 | Common Stock | 18,712 | 18,712 | D |
| Employee Stock Option (Right-to-Buy)F8 | $41.00 | holding | — | — | — | — | Jan 22, 2025 | Common Stock | 22,789 | 22,789 | D |
| Employee Stock Option (Right-to-Buy)F9 | $48.92 | holding | — | — | — | — | Jan 23, 2024 | Common Stock | 16,644 | 16,644 | D |
| Performance Stock UnitsF12,F10,F11 | $0.00 | holding | — | — | — | Jan 19, 2017 | Jan 19, 2019 | Common Stock | 2,316 | 2,316 | D |
| Restricted Stock UnitsF3,F13 | $0.00 | holding | — | — | — | — | Jan 19, 2019 | Common Stock | 2,317 | 2,317 | D |
| Restricted Stock UnitsF5,F3,F14 | $0.00 | holding | — | — | — | — | Jan 23, 2017 | Common Stock | 1,727 | 1,727 | D |
Explanation of responses
- F1Shares withheld for taxes due on 1,970 shares issued pursuant to the H.B. Fuller Company 2013 Master Stock Incentive Plan.
- F10H.B. Fuller Company 2013 Master Incentive Plan: These performance stock units convert into shares of common stock on a 1-for-1 basis.
- F11H.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.
- F12H.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.
- F13H.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.
- F14H.B. Fuller Company 2013 Master Incentive Plan: These restricted stock units vest in three equal annual installments beginning on January 23, 2015.
- F2Amended and Restated Year 2000 Stock Incentive Plan: Amount includes 24,398 restricted shares awarded pursuant to H.B. Fuller Company's Amended and Restated Year 2000 Stock Incentive Plan. Total amount also includes restricted shares acquired pursuant to a dividend accrual feature of the Amended and Restated Year 2000 Stock Incentive Plan.
- F3H.B. Fuller Company 2013 Master Incentive Plan: These restricted stock units convert into shares of common stock on a 1-for-1 basis.
- F4H.B. Fuller Company 2013 Master Incentive Plan: These restricted stock units vest in three equal annual installments beginning on January 22, 2016.
- F5H.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.
- F6Amended and Restated Year 2000 Stock Incentive Plan: This option is 100% vested.
- F7H.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.
- F8H.B. Fuller Company 2013 Master Incentive Plan: This option vests in three equal annual installments beginning on January 22, 2016.
- F9H.B. Fuller Company 2013 Master Incentive Plan: This option vests in three equal annual installments beginning on January 23, 2015.