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FUL H B Fuller Co

81.06
0.62 (0.77%)
16 May 2024 - Closed
Delayed by 15 minutes
Share Name Share Symbol Market Type
H B Fuller Co NYSE:FUL NYSE Common Stock
  Price Change % Change Share Price High Price Low Price Open Price Shares Traded Last Trade
  0.62 0.77% 81.06 81.35 80.401 81.09 245,784 00:28:02

Statement of Changes in Beneficial Ownership (4)

16/10/2017 3:49pm

Edgar (US Regulatory)


FORM 4
[ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).         
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
                                                                                  
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response...
0.5
                      
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
                      

1. Name and Address of Reporting Person *

Rezai Ebrahim
2. Issuer Name and Ticker or Trading Symbol

FULLER H B CO [ FUL ]
5. Relationship of Reporting Person(s) to Issuer (Check all applicable)

_____ Director                      _____ 10% Owner
__ X __ Officer (give title below)      _____ Other (specify below)
VP, Chief Tech. & Innovation
(Last)          (First)          (Middle)

1200 WILLOW LAKE BOULEVARD, P.O. BOX 64683
3. Date of Earliest Transaction (MM/DD/YYYY)

10/12/2017
(Street)

ST. PAUL, MN 55164-0683
(City)        (State)        (Zip)
4. If Amendment, Date Original Filed (MM/DD/YYYY)

 
6. Individual or Joint/Group Filing (Check Applicable Line)

_ X _ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Trans. Date 2A. Deemed Execution Date, if any 3. Trans. Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock   10/12/2017     M    183.0000   A $57.1500   183.0000   D    
Common Stock   10/12/2017     M    143.0000   A $57.1500   326.0000   D    
Common Stock   10/12/2017     F    49.0000   (1) D $57.1500   277.0000   D    
Common Stock   10/12/2017     F    62.0000   (2) D $57.1500   215.0000   D    

Table II - Derivative Securities Beneficially Owned ( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivate Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Trans. Date 3A. Deemed Execution Date, if any 4. Trans. Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
6. Date Exercisable and Expiration Date 7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Performance Stock Units   $0.0000   (3) 10/12/2017     M         183.0000    10/12/2017   (4) 10/12/2019   Common Stock   183.0000   $57.1500   293.0700   (5) D    
Restricted Stock Units   $0.0000   (6) 10/12/2017     M         143.0000    10/12/2017   (7) 10/12/2019   Common Stock   143.0000   $57.1500   295.0800   (8) D    
Employee Stock Option (Right-to-Buy)   $44.8200                    10/12/2017   (9) 10/12/2026   Common Stock   3781.0000     3781.0000   D    
Employee Stock Option (Right-to-Buy)   $50.1000                    1/26/2018   (9) 1/26/2027   Common Stock   13033.0000     13033.0000   D    
Performance Stock Units   $0.0000   (3)                  1/26/2018   (4) 1/26/2020   Common Stock   1409.1100     1409.1100   (10) D    
Restricted Stock Units   $0.0000   (6)                  1/26/2018   (7) 1/26/2020   Common Stock   1622.9500     1622.9500   (8) D    

Explanation of Responses:
(1)  Shares withheld for taxes due on 143 shares issued.
(2)  Shares withheld for taxes due on 183 shares issued.
(3)  These performance stock units convert into shares of common stock on a 1-for-1 basis.
(4)  These 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.
(5)  This 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.
(6)  These restricted stock units convert into shares of common stock on a 1-for-1 basis.
(7)  These restricted stock units vest in three equal annual installments beginning on the date shown.
(8)  Amount includes restricted stock units acquired pursuant to a dividend equivalent reinvestment feature.
(9)  This option vests in three equal annual installments beginning on the date shown.
(10)  Amount includes performance stock units acquired pursuant to a dividend equivalent reinvestment feature.

Reporting Owners
Reporting Owner Name / Address
Relationships
Director 10% Owner Officer Other
Rezai Ebrahim
1200 WILLOW LAKE BOULEVARD
P.O. BOX 64683
ST. PAUL, MN 55164-0683


VP, Chief Tech. & Innovation

Signatures
/s/ Timothy J. Keenan, Attorney-in-Fact 10/16/2017
** Signature of Reporting Person Date


Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.

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