SEC Form 4 · accession 0001225208-18-004912
FULLER H B CO · FUL
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Lee R Mitau
Director
Period of report
Feb 28, 2018
Accepted (ET)
Mar 1, 2018 · 4:19 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 StockF1 | Dec 27, 2017 | G | 100 | $0.00 | D | 42,773 | D | |
| Common StockF1 | Dec 27, 2017 | G | 100 | $0.00 | D | 42,673 | D | |
| Common StockF2 | Dec 27, 2017 | G | 100 | $0.00 | A | 100 | I | By Daughter |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock UnitsF5,F3,F4 | $0.00 | Feb 28, 2018 | A | 939 | A | — | — | Common Stock | 939 | 107,908 | D |
| Stock UnitsF5,F3,F6 | $0.00 | holding | — | — | — | — | Aug 8, 1988 | Common Stock | 46,521 | 46,521 | D |
Explanation of responses
- F1Bona fide gift made by the Reporting Person on December 27, 2017.
- F2This transaction involved a gift of securities by the reporting person to his daughter who shares reporting person's household. The reporting person disclaims beneficial ownership of the shares held by his daughter, and this report should not be deemed an admission that the reporting person is the beneficial owner of his daughter's shares for purposes of Section 16 or for any other purpose.
- F3These units convert into shares of common stock on a 1-for-1 basis.
- F4These units will be converted into shares of common stock upon retirement, death, disability or certain specified events, all as defined in such plan, subject to holding periods required by law.
- F5This amount includes stock units acquired pursuant to a dividend equivalent feature of the Directors' Deferred Compensation Plan.
- F6These units (acquired before 12-31-04) will be converted into shares of common stock upon retirement, death, disability or certain specified events, all as defined in such plan, subject to holding periods required by law.