SEC Form 4 · accession 0001225208-18-001399
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
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 | 312 | $54.83 | A | 312 | D | |
| Common Stock | Jan 19, 2018 | M | 266 | $54.83 | A | 578 | D | |
| Common StockF1 | Jan 19, 2018 | F | 97 | $54.83 | D | 481 | D | |
| Common StockF2 | Jan 19, 2018 | F | 113 | $54.83 | D | 368 | D | |
| Common StockF3 | holding | — | — | — | 1,234 | 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 UnitsF5,F7,F4,F6 | $0.00 | Jan 19, 2018 | M | 312 | D | Jan 19, 2017 | Jan 19, 2019 | Common Stock | 312 | 274 | D |
| Restricted Stock UnitsF10,F8,F9 | $0.00 | Jan 19, 2018 | M | 266 | D | Jan 19, 2017 | Jan 19, 2019 | Common Stock | 266 | 275 | D |
| Employee Stock Option (Right-to-Buy)F11 | $28.40 | holding | — | — | — | Jan 26, 2013 | Jan 26, 2022 | Common Stock | 3,894 | 3,894 | D |
| Employee Stock Option (Right-to-Buy)F12 | $33.38 | holding | — | — | — | Jan 19, 2017 | Jan 19, 2026 | Common Stock | 6,891 | 6,891 | D |
| Employee Stock Option (Right-to-Buy)F12 | $38.31 | holding | — | — | — | Apr 10, 2016 | Apr 10, 2023 | Common Stock | 1,257 | 1,257 | D |
| Employee Stock Option (Right-to-Buy)F11 | $39.64 | holding | — | — | — | Jan 24, 2014 | Jan 24, 2023 | Common Stock | 2,806 | 2,806 | D |
| Employee Stock Option (Right-to-Buy)F12 | $41.00 | holding | — | — | — | Jan 22, 2016 | Jan 22, 2025 | Common Stock | 3,760 | 3,760 | D |
| Employee Stock Option (Right-to-Buy)F11 | $48.92 | holding | — | — | — | Jan 23, 2015 | Jan 23, 2024 | Common Stock | 2,496 | 2,496 | D |
| Employee Stock Option (Right-to-Buy)F12 | $50.10 | holding | — | — | — | Jan 26, 2018 | Jan 26, 2027 | Common Stock | 9,918 | 9,918 | D |
| Performance Stock Option (Right-to-Buy)F13 | $57.70 | holding | — | — | — | Jan 31, 2021 | Oct 20, 2027 | Common Stock | 34,403 | 34,403 | D |
| Performance Stock UnitsF7,F4,F6 | $0.00 | holding | — | — | — | Jan 26, 2018 | Jan 26, 2020 | Common Stock | 1,075 | 1,075 | D |
| Phantom UnitsF14,F15 | $0.00 | holding | — | — | — | — | — | Common Stock | 11 | 11 | D |
| Restricted Stock UnitsF10,F8,F9 | $0.00 | holding | — | — | — | Jan 22, 2016 | Jan 22, 2018 | Common Stock | 338 | 338 | D |
| Restricted Stock UnitsF10,F8,F9 | $0.00 | holding | — | — | — | Jan 26, 2018 | Jan 26, 2020 | Common Stock | 1,913 | 1,913 | D |
Explanation of responses
- F1Shares withheld for taxes due on 266 shares issued.
- F10Amount includes restricted stock units acquired pursuant to a dividend equivalent reinvestment feature.
- F11This option is 100% vested.
- F12This option vests in three equal annual installments beginning on the date shown.
- F13These 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.
- F14These units (acquired after 12-31-04) convert into shares of common stock on a 1-for-1 basis.
- F15These units (acquired after 12-31-04) convert into shares of common stock upon the earlier of certain termination events as specified in the Key Employee DeferredCompensation Plan or such earlier date as selected by the participant, subject to holding periods required by law.
- F2Shares withheld for taxes due on 312 shares issued.
- F3Amount includes shares and dividends acquired pursuant to the H.B.Fuller Company 401(k) & Retirement Plan.
- F4These performance stock units convert into shares of common stock on a 1-for-1 basis.
- F5This amount reflects a 117.5% payout based on the performance criteria achieved.
- F6These 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.
- F7Amount includes performance stock units acquired pursuant to a dividend equivalent reinvestment feature.
- F8These restricted stock units convert into shares of common stock on a 1-for-1 basis.
- F9These restricted stock units vest in three equal annual installments beginning on the date shown.