Sec Form 4 Filing - Moorman David W. @ FULLER H B CO - 2019-05-31

Insider filing report for Changes in Beneficial Ownership
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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
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Moorman David W.
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, Operations Excellence
(Last) (First) (Middle)
1200 WILLOW LAKE BOULEVARD, P.O. BOX 64683
3. Date of Earliest Transaction (MM/DD/YY)
05/31/2019
(Street)
ST. PAUL, MN55164-0683
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction 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 2,556 D
Common Stock 1,256.39 ( 1 ) I By 401(k) Plan
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction 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
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(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
Phantom Units $ 0 ( 2 ) 05/31/2019 A 15.77 ( 3 ) ( 3 ) Common Stock 15.77 $ 39.43 567.63 ( 4 ) D
Employee Stock Option (Right-to-Buy) $ 28.4 01/26/2013( 5 ) 01/26/2022 Common Stock 3,894 3,894 D
Employee Stock Option (Right-to-Buy) $ 33.38 01/19/2017( 5 ) 01/19/2026 Common Stock 6,891 6,891 D
Employee Stock Option (Right-to-Buy) $ 38.31 04/10/2016( 5 ) 04/10/2023 Common Stock 1,257 1,257 D
Employee Stock Option (Right-to-Buy) $ 39.64 01/24/2014( 5 ) 01/24/2023 Common Stock 2,806 2,806 D
Employee Stock Option (Right-to-Buy) $ 41 01/22/2016( 5 ) 01/22/2025 Common Stock 3,760 3,760 D
Employee Stock Option (Right-to-Buy) $ 45.05 01/24/2020( 6 ) 01/24/2029 Common Stock 12,087 12,087 D
Employee Stock Option (Right-to-Buy) $ 48.92 01/23/2015( 5 ) 01/23/2024 Common Stock 2,496 2,496 D
Employee Stock Option (Right-to-Buy) $ 50.1 01/26/2018( 6 ) 01/26/2027 Common Stock 9,918 9,918 D
Employee Stock Option (Right-to-Buy) $ 53.57 01/25/2019( 6 ) 01/25/2028 Common Stock 9,606 9,606 D
Performance Stock Option (Right-to-Buy) $ 57.7 01/31/2021( 7 ) 10/20/2027 Common Stock 34,403 34,403 D
Performance Stock Units $ 0 ( 8 ) 01/24/2020( 9 ) 01/24/2022 Common Stock 1,304.35 1,304.35 ( 10 ) D
Performance Stock Units $ 0 ( 8 ) 01/25/2019( 9 ) 01/25/2021 Common Stock 691.66 691.66 ( 10 ) D
Performance Stock Units $ 0 ( 8 ) 01/26/2018( 9 ) 01/26/2020 Common Stock 377.14 377.14 ( 10 ) D
Restricted Stock Units $ 0 ( 11 ) 01/24/2020( 12 ) 01/24/2020 Common Stock 449.88 449.88 ( 13 ) D
Restricted Stock Units $ 0 ( 11 ) 01/24/2020( 14 ) 01/24/2022 Common Stock 1,305.35 1,305.35 ( 13 ) D
Restricted Stock Units $ 0 ( 11 ) 01/25/2019( 14 ) 01/25/2021 Common Stock 691.66 691.66 ( 13 ) D
Restricted Stock Units $ 0 ( 11 ) 01/26/2018( 14 ) 01/26/2020 Common Stock 664.29 664.29 ( 13 ) D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Moorman David W.
1200 WILLOW LAKE BOULEVARD
P.O. BOX 64683
ST. PAUL, MN55164-0683
VP, Operations Excellence
Signatures
/s/ Timothy J. Keenan, Attorney-in-Fact 06/04/2019
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Amount includes shares and dividends acquired pursuant to the H.B.Fuller Company 401(k) & Retirement Plan.
( 2 )These units (acquired after 12-31-04) convert into shares of common stock on a 1-for-1 basis.
( 3 )These 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 DeferredCompensation Plan or such earlier date as selected by the participant, subject to holding periods required by law.
( 4 )Amount includes stock units acquired pursuant to a dividend equivalent feature.
( 5 )This option is 100% vested.
( 6 )This option vests in three equal annual installments beginning on the date shown.
( 7 )These 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.
( 8 )These performance stock units convert into shares of common stock on a 1-for-1 basis.
( 9 )These 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.
( 10 )Amount includes performance stock units acquired pursuant to a dividend equivalent reinvestment feature.
( 11 )These restricted stock units convert into shares of common stock on a 1-for-1 basis.
( 12 )These restricted stock units vest in one annual installment on the date shown.
( 13 )Amount includes restricted stock units acquired pursuant to a dividend equivalent reinvestment feature.
( 14 )These restricted stock units vest in three equal annual installments beginning on the date shown.

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).
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