SEC Form 4 · accession 0001225208-17-016521
FULLER H B CO · FUL
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David W. Moorman
Officer — VP, Operations Excellence
Period of report
Oct 20, 2017
Accepted (ET)
Oct 24, 2017 · 5:45 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 StockF1 | holding | — | — | — | 1,230 | I | By 401(k) Plan |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Performance Stock Option (Right-to-Buy)F2,F3 | $57.70 | Oct 20, 2017 | A | 34,403 | A | Jan 31, 2021 | Oct 20, 2027 | Common Stock | 34,403 | 34,403 | D |
| Employee Stock Option (Right-to-Buy)F4 | $28.40 | holding | — | — | — | Jan 26, 2013 | Jan 26, 2022 | Common Stock | 3,894 | 3,894 | D |
| Employee Stock Option (Right-to-Buy)F5 | $33.38 | holding | — | — | — | Jan 19, 2017 | Jan 19, 2026 | Common Stock | 6,891 | 6,891 | D |
| Employee Stock Option (Right-to-Buy)F5 | $38.31 | holding | — | — | — | Apr 10, 2016 | Apr 10, 2023 | Common Stock | 1,257 | 1,257 | D |
| Employee Stock Option (Right-to-Buy)F4 | $39.64 | holding | — | — | — | Jan 24, 2014 | Jan 24, 2023 | Common Stock | 2,806 | 2,806 | D |
| Employee Stock Option (Right-to-Buy)F5 | $41.00 | holding | — | — | — | Jan 22, 2016 | Jan 22, 2025 | Common Stock | 3,760 | 3,760 | D |
| Employee Stock Option (Right-to-Buy)F4 | $48.92 | holding | — | — | — | Jan 23, 2015 | Jan 23, 2024 | Common Stock | 2,496 | 2,496 | D |
| Employee Stock Option (Right-to-Buy)F5 | $50.10 | holding | — | — | — | Jan 26, 2018 | Jan 26, 2027 | Common Stock | 9,918 | 9,918 | D |
| Performance Stock UnitsF8,F6,F7 | $0.00 | holding | — | — | — | Jan 19, 2017 | Jan 19, 2019 | Common Stock | 539 | 539 | D |
| Performance Stock UnitsF8,F6,F7 | $0.00 | holding | — | — | — | Jan 26, 2018 | Jan 26, 2020 | Common Stock | 1,072 | 1,072 | D |
| Restricted Stock UnitsF11,F9,F10 | $0.00 | holding | — | — | — | Jan 19, 2017 | Jan 19, 2019 | Common Stock | 539 | 539 | D |
| Restricted Stock UnitsF11,F9,F10 | $0.00 | holding | — | — | — | Jan 22, 2016 | Jan 22, 2018 | Common Stock | 337 | 337 | D |
| Restricted Stock UnitsF11,F9,F10 | $0.00 | holding | — | — | — | Jan 26, 2018 | Jan 26, 2020 | Common Stock | 1,908 | 1,908 | D |
Explanation of responses
- F1Amount includes shares and dividends acquired pursuant to the H.B.Fuller Company 401(k) & Retirement Plan.
- F10These restricted stock units vest in three equal annual installments beginning on the date shown.
- F11Amount includes restricted stock units acquired pursuant to a dividend equivalent reinvestment feature.
- F2Each performance-based non-qualified stock option represents a contingent right and option to purchase all or any part of an aggregate of 34,403 shares of Common Stock at the price of $57.70 per share. Prior to vesting, the number of options subject to the award will be adjusted based on the company's adjusted EBITDA performance for fiscal year 2020. The number of options may decrease to as low as 0% of the initial number of options depending on the level of adjusted EBITDA performance. The grant amount is shown at the superior level of performance.
- F3These performance-based non-qualified stock options vest on the date shown contingent upon H.B. Fuller achieving adjusted EBITDA at least at the threshold level of performance.
- F4This option is 100% vested.
- F5This option vests in three equal installments beginning on the date shown.
- F6These performance stock units convert into shares of common stock on a 1-for-1 basis.
- F7These 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.
- F8Amount includes performance stock units acquired pursuant to a dividend equivalent reinvestment feature.
- F9These restricted stock units convert into shares of common stock on a 1-for-1 basis.