SEC Form 4 · accession 0001225208-17-016261
FULLER H B CO · FUL
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Ebrahim Rezai
Officer — VP, Chief Tech. & Innovation
Period of report
Oct 12, 2017
Accepted (ET)
Oct 16, 2017 · 10:48 am 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 12, 2017 | M | 183 | $57.15 | A | 183 | D | |
| Common Stock | Oct 12, 2017 | M | 143 | $57.15 | A | 326 | D | |
| Common StockF1 | Oct 12, 2017 | F | 49 | $57.15 | D | 277 | D | |
| Common StockF2 | Oct 12, 2017 | F | 62 | $57.15 | D | 215 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Performance Stock UnitsF5,F3,F4 | $0.00 | Oct 12, 2017 | M | 183 | D | Oct 12, 2017 | Oct 12, 2019 | Common Stock | 183 | 293 | D |
| Restricted Stock UnitsF8,F6,F7 | $0.00 | Oct 12, 2017 | M | 143 | D | Oct 12, 2017 | Oct 12, 2019 | Common Stock | 143 | 295 | D |
| Employee Stock Option (Right-to-Buy)F9 | $44.82 | holding | — | — | — | Oct 12, 2017 | Oct 12, 2026 | Common Stock | 3,781 | 3,781 | D |
| Employee Stock Option (Right-to-Buy)F9 | $50.10 | holding | — | — | — | Jan 26, 2018 | Jan 26, 2027 | Common Stock | 13,033 | 13,033 | D |
| Performance Stock UnitsF10,F3,F4 | $0.00 | holding | — | — | — | Jan 26, 2018 | Jan 26, 2020 | Common Stock | 1,409 | 1,409 | D |
| Restricted Stock UnitsF8,F6,F7 | $0.00 | holding | — | — | — | Jan 26, 2018 | Jan 26, 2020 | Common Stock | 1,623 | 1,623 | D |
Explanation of responses
- F1Shares withheld for taxes due on 143 shares issued.
- F10Amount includes performance stock units acquired pursuant to a dividend equivalent reinvestment feature.
- F2Shares withheld for taxes due on 183 shares issued.
- F3These performance stock units convert into shares of common stock on a 1-for-1 basis.
- F4These 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.
- F5This 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.
- F6These restricted stock units convert into shares of common stock on a 1-for-1 basis.
- F7These restricted stock units vest in three equal annual installments beginning on the date shown.
- F8Amount includes restricted stock units acquired pursuant to a dividend equivalent reinvestment feature.
- F9This option vests in three equal annual installments beginning on the date shown.