SEC Form 4 · accession 0001225208-17-015846
FULLER H B CO · FUL
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Patrick M. Kivits
Officer — Senior VP, EIMEA
Period of report
Oct 1, 2017
Accepted (ET)
Oct 3, 2017 · 6:52 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 | Oct 1, 2017 | M | 622 | $58.06 | A | 667 | D | |
| Common StockF1 | Oct 1, 2017 | F | 324 | $58.06 | D | 343 | 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 | Oct 1, 2017 | M | 622 | D | — | Oct 1, 2018 | Common Stock | 622 | 643 | D |
| Employee Stock Option (Right-to-Buy)F5 | $33.38 | holding | — | — | — | — | Jan 19, 2026 | Common Stock | 22,374 | 22,374 | D |
| Employee Stock Option (Right-to-Buy)F6 | $34.43 | holding | — | — | — | — | Oct 1, 2025 | Common Stock | 7,207 | 7,207 | D |
| Employee Stock Option (Right-to-Buy)F7 | $50.10 | holding | — | — | — | Jan 26, 2018 | Jan 26, 2027 | Common Stock | 17,772 | 17,772 | D |
| Performance Stock UnitsF8,F9 | $0.00 | holding | — | — | — | Jan 19, 2017 | Jan 19, 2019 | Common Stock | 1,752 | 1,752 | D |
| Performance Stock UnitsF10,F11 | $0.00 | holding | — | — | — | Jan 26, 2018 | Jan 26, 2020 | Common Stock | 1,922 | 1,922 | D |
| Restricted Stock UnitsF4,F2,F12 | $0.00 | holding | — | — | — | — | Jan 19, 2019 | Common Stock | 1,753 | 1,753 | D |
| Restricted Stock UnitsF13,F14 | $0.00 | holding | — | — | — | Jan 26, 2018 | Jan 26, 2020 | Common Stock | 4,339 | 4,339 | D |
Explanation of responses
- F1Shares withheld for taxes due on 622 shares issued.
- F10H.B. Fuller Company 2016 Master Incentive Plan: These performance stock units convert into shares of common stock on a 1-for-1 basis.
- F11H.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.
- F12H.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.
- F13H.B. Fuller Company 2016 Master Incentive Plan: These restricted stock units convert into shares of common stock on a 1-for-1 basis.
- F14H.B. Fuller Company 2016 Master Incentive Plan: These restricted stock units vest in three equal annual installments beginning on the date shown.
- 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 October 1, 2016.
- F4H.B. Fuller Company 2013 Master Incentive Plan: These restricted stock 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 installments beginning on January 19, 2017. This option makes up part of the reporting person's fiscal year 2016 long-term incentive plan grant.
- F6H.B. Fuller Company 2013 Master Incentive Plan: This option vests in three equal annual installments beginning on October 1, 2016.
- F7H.B. Fuller Company 2016 Master Incentive Plan: This option vests in three equal installments beginning on the date shown.
- 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.