ThZeal - The Zeal

SEC FORM 3 SEC Form 3

FORM 3

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL 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

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1. Name and Address of Reporting Person^*

Cooney Paula M.

(Last)

(First)

(Middle)

1200 WILLOW LAKE BOULEVARD

P.O. BOX 64683

(Street)

ST. PAUL

55164-0683

(City)

(State)

(Zip)

2. Date of Event Requiring Statement (Month/Day/Year)
04/01/2016

3. Issuer Name and Ticker or Trading Symbol
FULLER H B CO [ FUL ]

4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

	Director	10% Owner
X	Officer (give title below)	Other (specify below)
	VP, Human Resources

5. If Amendment, Date of Original Filed (Month/Day/Year)

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 Beneficially Owned
1. Title of Security (Instr. 4)	2. Amount of Securities Beneficially Owned (Instr. 4)	3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock	4,748	D

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4)	2. Date Exercisable and Expiration Date (Month/Day/Year)		3. Title and Amount of Securities Underlying Derivative Security (Instr. 4)		4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
1. Title of Derivative Security (Instr. 4)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares	4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
Employee Stock Option (Right-to-Buy)	⁽¹⁾	01/20/2021	Common Stock	6,524	$22.27	D
Employee Stock Option (Right-to-Buy)	⁽¹⁾	04/14/2020	Common Stock	3,647	$23.68	D
Employee Stock Option (Right-to-Buy)	⁽¹⁾	01/26/2022	Common Stock	5,451	$28.4	D
Employee Stock Option (Right-to-Buy)	⁽²⁾	01/19/2026	Common Stock	6,264	$33.38	D
Employee Stock Option (Right-to-Buy)	⁽¹⁾	01/24/2023	Common Stock	4,126	$39.64	D
Employee Stock Option (Right-to-Buy)	⁽³⁾	01/22/2025	Common Stock	4,785	$41	D
Employee Stock Option (Right-to-Buy)	⁽⁴⁾	01/23/2024	Common Stock	4,194	$48.92	D
Employee Stock Option (Right-to-Buy)	12/04/2016	12/04/2023	Common Stock	4,010	$50.16	D
Restricted Stock Units	⁽⁵⁾	⁽⁶⁾	Common Stock	718.51⁽⁷⁾	$0.0000⁽⁸⁾	D
Restricted Stock Units	⁽⁹⁾	01/19/2019	Common Stock	719.51⁽⁷⁾	$0.0000⁽⁸⁾	D
Restricted Stock Units	⁽¹⁰⁾	01/22/2018	Common Stock	832.16⁽⁷⁾	$0.0000⁽⁸⁾	D
Restricted Stock Units	⁽¹¹⁾	01/23/2017	Common Stock	464.67⁽⁷⁾	$0.0000⁽⁸⁾	D
Restricted Stock Units	⁽¹²⁾	12/04/2016	Common Stock	1,570.56⁽⁷⁾	$0.0000⁽⁸⁾	D

Explanation of Responses:

1. Amended and Restated Year 2000 Stock Incentive Plan: This option is 100% vested.

2. H.B. Fuller Company 2013 Master Incentive Plan: This option vests in three equal installments beginning on January 19, 2017. This option makes up part of the reporting person's fiscal year 2016 long-term incentive plan grant.

3. H.B. Fuller Company 2013 Master Incentive Plan: This option vests in three equal annual installments beginning on January 22, 2016.

4. 2013 Master Incentive Plan: This option vests in three equal annual installments beginning on January 23, 2015.

5. H.B. Fuller Company 2013 Master Incentive Plan: These restricted stock units vest in three annual installments beginning on January 19, 2017 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. These restricted stock units make up part of the reporting person's fiscal year 2016 long-term incentive plan grant.

6. These restricted stock units expire on January 19, 2019.

7. H.B. Fuller Company 2013 Master Incentive Plan: These restricted units include stock units acquired pursuant to a dividend equivalent reinvestment feature of H.B. Fuller Company 2013 Master Incentive Plan.

8. H.B. Fuller Company 2013 Master Incentive Plan: These restricted stock units convert into shares of common stock on a 1-for-1 basis.

9. H.B. Fuller Company 2013 Master Incentive Plan: These restricted stock units vest in three equal annual installments beginning on January 19, 2017. These restricted stock units make up part of the reporting person's fiscal year 2016 long-term incentive plan grant.

10. H.B. Fuller Company 2013 Master Incentive Plan: These restricted stock units vest in three equal annual installments beginning on January 22, 2016.

11. H.B. Fuller Company 2013 Master Incentive Plan: These restricted stock units vest in three equal annual installments beginning on January 23, 2015.

12. H.B. Fuller Company 2013 Master Incentive Plan: These restricted stock units vest in full on December 4, 2016.

	/s/ Timothy J. Keenan, Attorney-in-Fact	04/08/2016
	** 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 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).
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.