SEC Form 4 · accession 0001225208-17-010700
FULLER H B CO · FUL
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
R William Van Sant
Director
Period of report
May 31, 2017
Accepted (ET)
Jun 1, 2017 · 2:59 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 Stock | holding | — | — | — | 23,165 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock UnitsF3,F1,F2 | $0.00 | May 31, 2017 | A | 732 | A | — | — | Common Stock | 732 | 81,912 | D |
| Stock UnitsF3,F1,F4 | $0.00 | holding | — | — | — | — | Aug 8, 1988 | Common Stock | 8,311 | 8,311 | D |
Explanation of responses
- F1These units convert into shares of common stock on a 1-for-1 basis.
- F2These units 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.
- F3This amount includes stock units acquired pursuant to a dividend equivalent feature of the Directors' Deferred Compensation Plan.
- F4These units (acquired before 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.