Sec Form 4 Filing - JENSEN TRACI L @ FULLER H B CO - 2020-01-24

Insider filing report for Changes in Beneficial Ownership
"Insiders might sell their shares for any number of reasons, but they buy them for only one: they think the price will rise"
- Peter Lynch
What is insider trading>>
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
OMB APPROVAL
OMB Number: 3235-0287
Expires: November 30, 2011
Estimated average burden hours per response... 0.5
1. Name and Address of Reporting Person
JENSEN TRACI L
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)
Vice President
(Last) (First) (Middle)
1200 WILLOW LAKE BOULEVARD, P.O. BOX 64683
3. Date of Earliest Transaction (MM/DD/YY)
01/24/2020
(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 01/24/2020 M 1,467 A $ 48.35 22,143 D
Common Stock 01/24/2020 M 984 A $ 48.35 23,127 D
Common Stock 01/24/2020 M 861 A $ 48.35 23,988 D
Common Stock 01/24/2020 F 277 ( 1 ) D $ 48.35 23,711 D
Common Stock 01/24/2020 F 295 ( 2 ) D $ 48.35 23,416 D
Common Stock 01/24/2020 F 503 ( 3 ) D $ 48.35 22,913 D
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 Exec ution 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
Employee Stock Option (Right-to-Buy) $ 48.35 01/24/2020 A 14,492 01/24/2021( 4 ) 01/24/2030 Common Stock 14,492 $ 48.35 14,492 D
Performance Stock Units $ 0 ( 5 ) 01/24/2020 M 861 01/24/2020( 6 ) 01/24/2022 Common Stock 861 $ 48.35 2,002.29 ( 7 ) D
Restricted Stock Units $ 0 ( 8 ) 01/24/2020 M 1,467 01/24/2020( 9 ) 01/24/2020 Common Stock 1,467 $ 48.35 0 D
Restricted Stock Units $ 0 ( 8 ) 01/24/2020 M 984 01/24/2020( 10 ) 01/24/2022 Common Stock 984 $ 48.35 2,002.29 ( 11 ) D
Restricted Stock Units $ 0 ( 8 ) 01/24/2020 A 1,485 01/24/2021( 10 ) 01/24/2023 Common Stock 1,485 $ 0 ( 8 ) 1,485 D
Employee Stock Option (Right-to-Buy) $ 22.27 01/20/2012( 12 ) 01/20/2021 Common Stock 12,658 12,658 D
Employee Stock Option (Right-to-Buy) $ 33.38 01/19/2017( 12 ) 01/19/2026 Common Stock 29,832 29,832 D
Employee Stock Option (Right-to-Buy) $ 41 01/22/2016( 12 ) 01/22/2025 Common Stock 22,789 22,789 D
Employee Stock Option (Right-to-Buy) $ 45.05 01/24/2020( 4 ) 01/24/2029( 13 ) Common Stock 27,472 27,472 D
Employee Stock Option (Right-to-Buy) $ 48.92 01/23/2015( 12 ) 01/23/2024 Common Stock 16,644 16,644 D
Employee Stock Option (Right-to-Buy) $ 50.1 01/26/2018( 4 ) 01/26/2027 Common Stock 23,696 23,696 D
Employee Stock Option (Right-to-Buy) $ 53.57 01/25/2019( 4 ) 01/25/2028 Common Stock 21,834 21,834 D
Performance Stock Option (Right-to-Buy) $ 57.7 01/31/2021( 14 ) 10/20/2027 Common Stock 62,552 62,552 D
Performance Stock Units $ 0 ( 5 ) 01/25/2019( 6 ) 01/25/2021 Common Stock 1,580.77 1,580.77 ( 15 ) D
Restricted Stock Units $ 0 ( 8 ) 01/25/2019( 10 ) 01/25/2021 Common Stock 1,581.79 1,581.79 ( 11 ) D
Restricted Stock Units $ 0 ( 8 ) 01/26/2018( 10 ) 01/26/2020 Common Stock 1,502.96 1,502.96 ( 11 ) D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
JENSEN TRACI L
1200 WILLOW LAKE BOULEVARD
P.O. BOX 64683
ST. PAUL, MN55164-0683
Vice President
Signatures
/s/ Timothy J. Keenan, Attorney-in-Fact 01/27/2020
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Shares withheld for taxes due on 984 shares issued.
( 2 )Shares withheld for taxes due on 861 shares issued.
( 3 )Shares withheld for taxes due on 1,467 shares issued.
( 4 )This option vests in three equal annual installments beginning on the date shown.
( 5 )These performance stock units convert into shares of common stock on a 1-for-1 basis.
( 6 )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.
( 7 )This amount has been adjusted to reflect the decrease 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.
( 8 )These restricted stock units convert into shares of common stock on a 1-for-1 basis.
( 9 )These restricted stock units vest in one annual installment on the date shown.
( 10 )These restricted stock units vest in three equal annual installments beginning on the date shown.
( 11 )Amount includes restricted stock units acquired pursuant to a dividend equivalent reinvestment feature.
( 12 )This option is 100% vested.
( 13 )This date was reported incorrectly on the Reporting Person's original Form 4, dated January 24, 2019, and has been updated with the correct expiration date.
( 14 )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.
( 15 )Amount includes performance stock units acquired pursuant to a dividend equivalent reinvestment feature.

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 Number.