SEC Form 4 · accession 0001225208-18-001395
FULLER H B CO · FUL
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Timothy J Keenan
Officer — VP, Gen. Counsel & Corp. Sec.
Period of report
Jan 19, 2018
Accepted (ET)
Jan 23, 2018 · 5:37 pm EST
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 | Jan 19, 2018 | M | 744 | $54.83 | A | 23,705 | D | |
| Common Stock | Jan 19, 2018 | M | 634 | $54.83 | A | 24,339 | D | |
| Common StockF1 | Jan 19, 2018 | F | 181 | $54.83 | D | 24,158 | D | |
| Common StockF2,F3 | Jan 19, 2018 | F | 268 | $54.83 | D | 23,890 | D | |
| Common StockF4 | holding | — | — | — | 6 | 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 UnitsF6,F8,F5,F7 | $0.00 | Jan 19, 2018 | M | 744 | D | Jan 19, 2017 | Jan 19, 2019 | Common Stock | 744 | 651 | D |
| Restricted Stock UnitsF11,F9,F10 | $0.00 | Jan 19, 2018 | M | 634 | D | Jan 19, 2017 | Jan 19, 2019 | Common Stock | 634 | 655 | D |
| Employee Stock Option (Right-to-Buy)F12 | $20.57 | holding | — | — | — | Dec 3, 2010 | Dec 3, 2019 | Common Stock | 17,505 | 17,505 | D |
| Employee Stock Option (Right-to-Buy)F12 | $22.27 | holding | — | — | — | Jan 20, 2012 | Jan 20, 2021 | Common Stock | 15,822 | 15,822 | D |
| Employee Stock Option (Right-to-Buy)F12 | $28.40 | holding | — | — | — | Jan 26, 2013 | Jan 26, 2022 | Common Stock | 14,278 | 14,278 | D |
| Employee Stock Option (Right-to-Buy)F13 | $33.38 | holding | — | — | — | Jan 19, 2017 | Jan 19, 2026 | Common Stock | 16,408 | 16,408 | D |
| Employee Stock Option (Right-to-Buy)F12 | $39.64 | holding | — | — | — | Jan 24, 2014 | Jan 24, 2023 | Common Stock | 10,291 | 10,291 | D |
| Employee Stock Option (Right-to-Buy)F13 | $41.00 | holding | — | — | — | Jan 22, 2016 | Jan 22, 2025 | Common Stock | 12,534 | 12,534 | D |
| Employee Stock Option (Right-to-Buy)F12 | $48.92 | holding | — | — | — | Jan 23, 2015 | Jan 23, 2024 | Common Stock | 9,154 | 9,154 | D |
| Employee Stock Option (Right-to-Buy)F13 | $51.10 | holding | — | — | — | Jan 26, 2018 | Jan 26, 2027 | Common Stock | 14,336 | 14,336 | D |
| Performance Stock Option (Right-to-Buy)F14 | $57.70 | holding | — | — | — | Jan 31, 2021 | Oct 20, 2027 | Common Stock | 34,403 | 34,403 | D |
| Performance Stock UnitsF15,F5,F7 | $0.00 | holding | — | — | — | Jan 26, 2018 | Jan 26, 2020 | Common Stock | 1,554 | 1,554 | D |
| Restricted Stock UnitsF11,F9,F10 | $0.00 | holding | — | — | — | Jan 22, 2016 | Jan 22, 2018 | Common Stock | 1,128 | 1,128 | D |
| Restricted Stock UnitsF11,F9,F10 | $0.00 | holding | — | — | — | Jan 26, 2018 | Jan 26, 2020 | Common Stock | 3,389 | 3,389 | D |
Explanation of responses
- F1Shares withheld for taxes due on 634 shares issued.
- 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.
- F12This option is 100% vested.
- F13This option vests in three equal annual installments beginning on the date shown.
- F14These 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.
- F15Amount includes performance stock units acquired pursuant to a dividend equivalent reinvestment feature.
- F2Shares withheld for taxes due on 744 shares issued.
- F3Amount includes 27,973 restricted shares that are 100% vested and restricted shares acquired pursuant to a dividend accrual feature.
- F4Amount includes shares and dividends acquired pursuant to the H.B.Fuller Company 401(k) & Retirement Plan.
- F5These performance stock units convert into shares of common stock on a 1-for-1 basis.
- F6This amount reflects a 117.5% payout based on the performance criteria achieved.
- F7These performance stock units vest in three equal 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.
- F8This 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.
- F9These restricted stock units convert into shares of common stock on a 1-for-1 basis.