SEC Form 4 · accession 0001225208-18-001444
FULLER H B CO · FUL
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Traci L Jensen
Officer — Sr.VP, Global Const Products
Period of report
Jan 22, 2018
Accepted (ET)
Jan 24, 2018 · 5:50 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 22, 2018 | M | 2,052 | $54.89 | A | 18,246 | D | |
| Common StockF1,F2 | Jan 22, 2018 | F | 594 | $54.89 | D | 17,652 | 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 UnitsF3,F4 | $0.00 | Jan 22, 2018 | M | 2,052 | D | Jan 22, 2016 | Jan 22, 2018 | Common Stock | 2,052 | 0 | D |
| Employee Stock Option (Right-to-Buy)F5 | $22.27 | holding | — | — | — | Jan 20, 2012 | Jan 20, 2021 | Common Stock | 12,658 | 12,658 | D |
| Employee Stock Option (Right-to-Buy)F5 | $23.68 | holding | — | — | — | Apr 14, 2011 | Apr 14, 2020 | Common Stock | 6,223 | 6,223 | D |
| Employee Stock Option (Right-to-Buy)F6 | $33.38 | holding | — | — | — | Jan 19, 2017 | Jan 19, 2026 | Common Stock | 29,832 | 29,832 | D |
| Employee Stock Option (Right-to-Buy)F5 | $41.00 | holding | — | — | — | Jan 22, 2016 | Jan 22, 2025 | Common Stock | 22,789 | 22,789 | D |
| Employee Stock Option (Right-to-Buy)F5 | $48.92 | holding | — | — | — | Jan 23, 2015 | Jan 23, 2024 | Common Stock | 16,644 | 16,644 | D |
| Employee Stock Option (Right-to-Buy)F6 | $50.10 | holding | — | — | — | Jan 26, 2018 | Jan 26, 2027 | Common Stock | 23,696 | 23,696 | D |
| Performance Stock Option (Right-to-Buy)F8,F7 | $57.70 | holding | — | — | — | Jan 31, 2021 | Oct 20, 2027 | Common Stock | 62,552 | 62,552 | D |
| Performance Stock UnitsF11,F9,F10 | $0.00 | holding | — | — | — | Jan 19, 2017 | Jan 19, 2019 | Common Stock | 1,184 | 1,184 | D |
| Performance Stock UnitsF12,F9,F10 | $0.00 | holding | — | — | — | Jan 26, 2018 | Jan 26, 2020 | Common Stock | 2,570 | 2,570 | D |
| Restricted Stock UnitsF13,F3,F4 | $0.00 | holding | — | — | — | Jan 19, 2017 | Jan 19, 2019 | Common Stock | 1,190 | 1,190 | D |
| Restricted Stock UnitsF13,F3,F4 | $0.00 | holding | — | — | — | Jan 26, 2018 | Jan 26, 2020 | Common Stock | 4,308 | 4,308 | D |
Explanation of responses
- F1Shares withheld for taxes due on 2,052 shares issued.
- F10These 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.
- F11This 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.
- F12Amount includes performance stock units acquired pursuant to a dividend equivalent reinvestment feature.
- F13Amount includes restricted stock units acquired pursuant to a dividend equivalent reinvestment feature.
- F2Amount includes 24,398 restricted shares that are 100% vested and restricted shares acquired pursuant to a dividend accrual feature.
- F3These restricted stock units convert into shares of common stock on a 1-for-1 basis.
- F4These restricted stock units vest in three equal annual installments beginning on the date shown.
- F5This option is 100% vested.
- F6This option vests in three equal annual installments beginning on the date shown.
- F7These 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.
- F8Each performance-based non-qualified stock option represents a contingent right and option to purchase all or any part of an aggregate of 62,552 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.
- F9These performance stock units convert into shares of common stock on a 1-for-1 basis.