SEC Form 4 · accession 0001225208-18-001879
FULLER H B CO · FUL
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Heather Campe
Officer — Senior VP, America Adhesives
Period of report
Jan 26, 2018
Accepted (ET)
Jan 30, 2018 · 7:33 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 26, 2018 | M | 1,605 | $54.53 | A | 10,095 | D | |
| Common Stock | Jan 26, 2018 | M | 888 | $54.53 | A | 10,983 | D | |
| Common StockF1 | Jan 26, 2018 | F | 272 | $54.53 | D | 10,711 | D | |
| Common StockF2,F3 | Jan 26, 2018 | F | 484 | $54.53 | D | 10,227 | 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,F7,F4,F6 | $0.00 | Jan 26, 2018 | M | 888 | D | Jan 26, 2018 | Jan 26, 2020 | Common Stock | 888 | 1,723 | D |
| Restricted Stock UnitsF10,F8,F9 | $0.00 | Jan 26, 2018 | M | 1,605 | D | Jan 26, 2018 | Jan 26, 2020 | Common Stock | 1,605 | 3,262 | D |
| Employee Stock Option (Right-to-Buy)F11 | $20.57 | holding | — | — | — | Dec 3, 2010 | Dec 3, 2019 | Common Stock | 1,446 | 1,446 | D |
| Employee Stock Option (Right-to-Buy)F11 | $22.27 | holding | — | — | — | Jan 20, 2012 | Jan 20, 2021 | Common Stock | 2,013 | 2,013 | D |
| Employee Stock Option (Right-to-Buy)F11 | $28.40 | holding | — | — | — | Jan 26, 2013 | Jan 26, 2022 | Common Stock | 1,998 | 1,998 | D |
| Employee Stock Option (Right-to-Buy)F12 | $33.38 | holding | — | — | — | Jan 19, 2017 | Jan 19, 2026 | Common Stock | 19,689 | 19,689 | D |
| Employee Stock Option (Right-to-Buy)F11 | $39.64 | holding | — | — | — | Jan 24, 2014 | Jan 24, 2023 | Common Stock | 5,988 | 5,988 | D |
| Employee Stock Option (Right-to-Buy)F11 | $41.00 | holding | — | — | — | Jan 22, 2016 | Jan 22, 2025 | Common Stock | 12,534 | 12,534 | D |
| Employee Stock Option (Right-to-Buy)F11 | $48.92 | holding | — | — | — | Jan 23, 2015 | Jan 23, 2024 | Common Stock | 7,323 | 7,323 | D |
| Employee Stock Option (Right-to-Buy)F12 | $50.10 | holding | — | — | — | Jan 26, 2018 | Jan 26, 2027 | Common Stock | 23,696 | 23,696 | D |
| Employee Stock Option (Right-to-Buy)F12 | $53.57 | holding | — | — | — | Jan 25, 2019 | Jan 25, 2028 | Common Stock | 21,834 | 21,834 | D |
| Performance Stock Option (Right-to-Buy)F13 | $57.70 | holding | — | — | — | Jan 31, 2021 | Oct 20, 2027 | Common Stock | 62,552 | 62,552 | D |
| Performance Stock UnitsF7,F4,F6 | $0.00 | holding | — | — | — | Jan 19, 2017 | Jan 19, 2019 | Common Stock | 781 | 781 | D |
| Performance Stock UnitsF4,F14 | $0.00 | holding | — | — | — | Jan 25, 2019 | Jan 25, 2021 | Common Stock | 2,307 | 2,307 | D |
| Restricted Stock UnitsF10,F8,F9 | $0.00 | holding | — | — | — | Jan 19, 2017 | Jan 19, 2019 | Common Stock | 785 | 785 | D |
| Restricted Stock UnitsF8,F9 | $0.00 | holding | — | — | — | Jan 25, 2019 | Jan 25, 2028 | Common Stock | 2,307 | 2,307 | D |
Explanation of responses
- F1Shares withheld for taxes due on 888 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 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.
- F2Shares withheld for taxes due on 1,605 shares issued.
- F3Amount includes 283.75 restricted shares that are 100% vested and restricted shares acquired pursuant to a dividend accrual feature.
- F4These performance stock units convert into shares of common stock on a 1-for-1 basis.
- F5This amount reflects a 105% 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.
- F7This 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.
- 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.