SEC Form 4/A · accession 0001225208-17-013994
FULLER H B CO · FUL
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
John J Corkrean
Officer — Executive VP and CFO
Period of report
May 17, 2017
Accepted (ET)
Aug 15, 2017 · 12:06 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Performance Stock UnitsF3,F1,F2 | $0.00 | May 17, 2017 | M | 810 | D | May 17, 2017 | May 17, 2019 | Common Stock | 810 | 1,294 | D |
Explanation of responses
- F1These performance stock units convert into shares of common stock on a 1-for-1 basis.
- F2These 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.
- F3This 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.
Remarks
Amendment filed to correct Performance Stock Units balance on Table II after vesting on May 17, 2017. Adjustment for 127.5% performance criteria (as noted in footnote 6) was inadvertently missed.