SEC Form 4/A · accession 0001225208-19-002230
FULLER H B CO · FUL
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Zhiwei Cai
Officer — Sr. VP, Engineering Adhesives
Period of report
Jan 25, 2019
Accepted (ET)
Feb 12, 2019 · 11:42 am EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000039368
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Phantom UnitsF3,F1,F2 | $0.00 | Jan 25, 2019 | A | 6 | A | — | — | Common Stock | 6 | 1,479 | D |
Explanation of responses
- F1These units (acquired after 12-31-04) convert into shares of common stock on a 1-for-1 basis.
- F2These units (acquired after 12-31-04) convert into shares of common stock upon the earlier of certain termination events as specified in the Key Employee Deferred Compensation Plan or such earlier date as selected by the participant, subject to holding periods required by law.
- F3Amount includes stock units acquired pursuant to a dividend equivalent feature.
Remarks
Amendment filed to correct number of phantom units acquired by Reporting Person.