SEC Form 4 · accession 0001225208-19-001458
FULLER H B CO · FUL
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Patrick M. Kivits
Officer — Senior VP, EIMEA
Period of report
Jan 25, 2019
Accepted (ET)
Jan 29, 2019 · 6:15 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 25, 2019 | M | 617 | $46.50 | A | 4,033 | D | |
| Common Stock | Jan 25, 2019 | M | 575 | $46.50 | A | 4,608 | D | |
| Common StockF1 | Jan 25, 2019 | F | 264 | $46.50 | D | 4,344 | D | |
| Common StockF2 | Jan 25, 2019 | F | 283 | $46.50 | D | 4,061 | D | |
| Common Stock | Jan 26, 2019 | M | 1,453 | $46.50 | A | 5,514 | D | |
| Common Stock | Jan 26, 2019 | M | 369 | $46.50 | A | 5,883 | D | |
| Common StockF3 | Jan 26, 2019 | F | 169 | $46.50 | D | 5,714 | D | |
| Common StockF4 | Jan 26, 2019 | F | 664 | $46.50 | D | 5,050 | 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 UnitsF6,F8,F5,F7 | $0.00 | Jan 25, 2019 | M | 617 | D | Jan 25, 2019 | Jan 25, 2021 | Common Stock | 617 | 1,171 | D |
| Restricted Stock UnitsF11,F9,F10 | $0.00 | Jan 25, 2019 | M | 575 | D | Jan 25, 2019 | Jan 25, 2021 | Common Stock | 575 | 1,171 | D |
| Performance Stock UnitsF12,F13,F5,F7 | $0.00 | Jan 26, 2019 | M | 369 | D | Jan 26, 2018 | Jan 26, 2020 | Common Stock | 369 | 670 | D |
| Restricted Stock UnitsF11,F9,F10 | $0.00 | Jan 26, 2019 | M | 1,453 | D | Jan 26, 2018 | Jan 26, 2020 | Common Stock | 1,453 | 1,498 | D |
| Employee Stock Option (Right-to-Buy)F14 | $33.38 | holding | — | — | — | Jan 19, 2017 | Jan 19, 2026 | Common Stock | 22,374 | 22,374 | D |
| Employee Stock Option (Right-to-Buy)F14 | $34.43 | holding | — | — | — | Oct 1, 2016 | Oct 1, 2025 | Common Stock | 7,207 | 7,207 | D |
| Employee Stock Option (Right-to-Buy)F15 | $45.05 | holding | — | — | — | Jan 24, 2020 | Jan 24, 2029 | Common Stock | 19,230 | 19,230 | D |
| Employee Stock Option (Right-to-Buy)F15 | $50.10 | holding | — | — | — | Jan 26, 2018 | Jan 26, 2027 | Common Stock | 17,772 | 17,772 | D |
| Employee Stock Option (Right-to-Buy)F15 | $53.57 | holding | — | — | — | Jan 25, 2019 | Jan 25, 2028 | Common Stock | 16,375 | 16,375 | D |
| Performance Stock Option (Right-to-Buy)F16 | $57.70 | holding | — | — | — | Jan 31, 2021 | Oct 20, 2027 | Common Stock | 62,552 | 62,552 | D |
| Performance Stock UnitsF5,F7 | $0.00 | holding | — | — | — | Jan 24, 2020 | Jan 24, 2022 | Common Stock | 2,063 | 2,063 | D |
| Restricted Stock UnitsF9,F17 | $0.00 | holding | — | — | — | Jan 24, 2020 | Jan 24, 2020 | Common Stock | 1,086 | 1,086 | D |
| Restricted Stock UnitsF9,F10 | $0.00 | holding | — | — | — | Jan 24, 2020 | Jan 24, 2022 | Common Stock | 2,063 | 2,063 | D |
Explanation of responses
- F1Shares withheld for taxes due on 575 shares issued.
- F10These restricted stock units vest in three equal annual installments beginning on the date shown.
- F11Amount includes restricted stock units acquired pursuant to a dividend equivalent reinvestment feature.
- F12This amount reflects a 57.50% payout based on the performance criteria achieved.
- F13This amount has been adjusted to reflect the decrease 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.
- F14This option is 100% vested.
- F15This option vests in three equal annual installments beginning on the date shown.
- F16These 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.
- F17These restricted stock units vest in one annual installment on the date shown.
- F2Shares withheld for taxes due on 617 shares issued.
- F3Shares withheld for taxes due on 369 shares issued.
- F4Shares withheld for taxes due on 1,453 shares issued.
- F5These performance stock units convert into shares of common stock on a 1-for-1 basis.
- F6This amount reflects a 107.5% payout based on the performance criteria achieved.
- F7These 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.
- F8This amount has been adjusted to reflect the increase in number of performance stock units of the original grant based on performance criteria. Amount includes performance stock units acquired pursuant to a dividend equivalent reinvestment feature.
- F9These restricted stock units convert into shares of common stock on a 1-for-1 basis.