<SEC-DOCUMENT>0001225208-17-015846.txt : 20171003
<SEC-HEADER>0001225208-17-015846.hdr.sgml : 20171003
<ACCEPTANCE-DATETIME>20171003185247
ACCESSION NUMBER:		0001225208-17-015846
CONFORMED SUBMISSION TYPE:	4
PUBLIC DOCUMENT COUNT:		1
CONFORMED PERIOD OF REPORT:	20171001
FILED AS OF DATE:		20171003
DATE AS OF CHANGE:		20171003

REPORTING-OWNER:	

	OWNER DATA:	
		COMPANY CONFORMED NAME:			Kivits Patrick M.
		CENTRAL INDEX KEY:			0001653265

	FILING VALUES:
		FORM TYPE:		4
		SEC ACT:		1934 Act
		SEC FILE NUMBER:	001-09225
		FILM NUMBER:		171119865

	MAIL ADDRESS:	
		STREET 1:		1200 WILLOW LAKE BLVD.
		STREET 2:		P.O. BOX 64683
		CITY:			ST. PAUL
		STATE:			MN
		ZIP:			55110

ISSUER:		

	COMPANY DATA:	
		COMPANY CONFORMED NAME:			FULLER H B CO
		CENTRAL INDEX KEY:			0000039368
		STANDARD INDUSTRIAL CLASSIFICATION:	ADHESIVES & SEALANTS [2891]
		IRS NUMBER:				410268370
		STATE OF INCORPORATION:			MN
		FISCAL YEAR END:			1203

	BUSINESS ADDRESS:	
		STREET 1:		1200 WILLOW LAKE BLVD
		CITY:			ST PAUL
		STATE:			MN
		ZIP:			55110-5132
		BUSINESS PHONE:		6126453401
</SEC-HEADER>
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            <rptOwnerState>MN</rptOwnerState>
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            <officerTitle>Senior VP, EIMEA</officerTitle>
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    <footnotes>
        <footnote id="F1">Shares withheld for taxes due on 622 shares issued.</footnote>
        <footnote id="F2">H.B. Fuller Company 2013 Master Incentive Plan: These restricted stock units convert into shares of common stock on a 1-for-1 basis.</footnote>
        <footnote id="F3">H.B. Fuller Company 2013 Master Incentive Plan: These restricted stock units vest in three equal annual installments beginning on October 1, 2016.</footnote>
        <footnote id="F4">H.B. Fuller Company 2013 Master Incentive Plan: These restricted stock units include stock units acquired pursuant to a dividend equivalent reinvestment feature of the H.B. Fuller Company 2013 Master Incentive Plan.</footnote>
        <footnote id="F5">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.</footnote>
        <footnote id="F6">H.B. Fuller Company 2013 Master Incentive Plan: This option vests in three equal annual installments beginning on October 1, 2016.</footnote>
        <footnote id="F7">H.B. Fuller Company 2016 Master Incentive Plan: This option vests in three equal installments beginning on the date shown.</footnote>
        <footnote id="F8">H.B. Fuller Company 2013 Master Incentive Plan: These performance stock units convert into shares of common stock on a 1-for-1 basis.</footnote>
        <footnote id="F9">H.B. Fuller Company 2013 Master Incentive Plan: 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. These performance stock units make up part of the reporting person's fiscal year 2016 long-term incentive plan grant.</footnote>
        <footnote id="F10">H.B. Fuller Company 2016 Master Incentive Plan: These performance stock units convert into shares of common stock on a 1-for-1 basis.</footnote>
        <footnote id="F11">H.B. Fuller Company 2016 Master Incentive Plan: 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.</footnote>
        <footnote id="F12">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.</footnote>
        <footnote id="F13">H.B. Fuller Company 2016 Master Incentive Plan: These restricted stock units convert into shares of common stock on a 1-for-1 basis.</footnote>
        <footnote id="F14">H.B. Fuller Company 2016 Master Incentive Plan: These restricted stock units vest in three equal annual installments beginning on the date shown.</footnote>
    </footnotes>

    <ownerSignature>
        <signatureName>/s/ Timothy J. Keenan, Attorney-in-Fact</signatureName>
        <signatureDate>2017-10-03</signatureDate>
    </ownerSignature>
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</SEC-DOCUMENT>
