Ownership Submission
|
FORM 3
|
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
|
|
OMB APPROVAL
|
|
OMB Number:3235-0104Expires:January 31, 2005Estimated average burden hours per response...0.5
|
|
|
1. Name and Address of Reporting Person *
|
|
Campe Heather
|
|
2. Date of Event Requiring Statement (Month/Day/Year)
2021-12-01
|
3. Issuer Name and Ticker or Trading Symbol
FULLER H B CO [FUL]
|
|
(Last)
|
(First)
|
(Middle)
|
|
1200 WILLOW LAKE BOULEVARD , P.O. BOX 64683
|
|
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
|
_____ Director
|
_____ 10% Owner
|
|
_____ Officer (give title below)
|
_____ Other (specify below)
|
|
Sr. VP, International Growth /
|
|
5. If Amendment, Date Original Filed(Month/Day/Year)
|
(Street)
|
|
ST. PAUL
|
MN
|
55164-0683
|
|
6. Individual or Join/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 Beneficially Owned
|
|
|
1.Title of Security
|
2. Amount of Securities Beneficially Owned
|
3. Ownership Form: Direct (D) or Indirect (I)
|
4. Nature of Indirect Beneficial Ownership
|
|
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
|
1. Title of Derivate Security
|
2. Date Exercisable and Expiration Date
|
3. Title and Amount of Securities Underlying Derivative Security
|
4. Conversion or Exercise Price of Derivative Security
|
5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
|
6. Nature of Indirect Beneficial Ownership
|
|
Date Exercisable
|
Expriation Date
|
Title
|
Amount or Number of Shares
|
Reporting Owners
|
Reporting Owner Name / Address
|
Relationships
|
|
Director
|
10% Owner
|
Officer
|
Other
|
Campe Heather
1200 WILLOW LAKE BOULEVARD
P.O. BOX 64683
ST. PAUL, MN55164-0683
|
|
|
Sr. VP, International Growth
|
|
Signatures
|
/s/ Timothy J. Keenan, Attorney-in-Fact
|
2021-12-08
|
|
**Signature of Reporting Person
|
Date
|
Explanation of Responses:
|
(*)
|
If the form is filed by more than one reporting person, see Instruction 5(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).
|
|
(1)
|
This option vests in three equal annual installments beginning on the date shown.
|
|
(2)
|
This option is 100% vested.
|
|
(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)
|
These units (acquired after 12-31-04) convert into shares of common stock on a 1-for-1 basis.
|
|
(6)
|
These restricted stock units vest in three equal annual installments beginning on the date shown.
|
|
(7)
|
Amount includes restricted 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.
|
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient,
See Instruction 6 for procedure.Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB number.
