SEC Form 4 · accession 0001225208-18-014613

FULLER H B CO · FUL

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Ebrahim Rezai

Officer — VP, Chief Tech. & Innovation

Period of report

Oct 12, 2018

Accepted (ET)

Oct 16, 2018 · 1:49 pm EDT

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
Common Stock	Oct 12, 2018	M	171	$45.50	A	1,105	D
Common Stock	Oct 12, 2018	M	146	$45.50	A	1,251	D
Common Stock^F1	Oct 12, 2018	F	45	$45.50	D	1,206	D
Common Stock^F2	Oct 12, 2018	F	53	$45.50	D	1,153	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 Units^F5,F3,F4	$0.00	Oct 12, 2018	M	171	D	Oct 12, 2017	Oct 12, 2019	Common Stock	171	150	D
Restricted Stock Units^F8,F6,F7	$0.00	Oct 12, 2018	M	146	D	Oct 12, 2017	Oct 12, 2019	Common Stock	146	152	D
Employee Stock Option (Right-to-Buy)^F9	$44.82	holding	—	—	—	Oct 12, 2017	Oct 12, 2026	Common Stock	3,781	3,781	D
Employee Stock Option (Right-to-Buy)^F10	$50.10	holding	—	—	—	Jan 26, 2018	Jan 26, 2027	Common Stock	13,033	13,033	D
Employee Stock Option (Right-to-Buy)^F10	$53.57	holding	—	—	—	Jan 25, 2019	Jan 25, 2028	Common Stock	12,008	12,008	D
Performance Stock Option (Right-to-Buy)^F11	$57.70	holding	—	—	—	Jan 31, 2021	Oct 20, 2027	Common Stock	34,403	34,403	D
Performance Stock Units^F12,F3,F4	$0.00	holding	—	—	—	Jan 25, 2019	Jan 25, 2021	Common Stock	1,275	1,275	D
Performance Stock Units^F5,F3,F13	$0.00	holding	—	—	—	Jan 26, 2018	Jan 26, 2020	Common Stock	955	955	D
Restricted Stock Units^F8,F6,F7	$0.00	holding	—	—	—	Jan 25, 2019	Jan 25, 2028	Common Stock	1,276	1,276	D
Restricted Stock Units^F8,F6,F7	$0.00	holding	—	—	—	Jan 26, 2018	Jan 26, 2020	Common Stock	1,101	1,101	D

Explanation of responses

F1Shares withheld for taxes due on 146 shares issued.
F10This option vests in three equal annual installments beginning on the date shown.
F11These 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.
F12Amount includes performance stock units acquired pursuant to a dividend equivalent reinvestment feature.
F13These 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 171 shares issued.
F3These performance stock units convert into shares of common stock on a 1-for-1 basis.
F4These 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.
F5This 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.
F6These restricted stock units convert into shares of common stock on a 1-for-1 basis.
F7These restricted stock units vest in three equal annual installments beginning on the date shown.
F8Amount includes restricted stock units acquired pursuant to a dividend equivalent reinvestment feature.
F9This option vests in three equal annual installments beginning on the date shown above.