<PAGE>
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 15
Certification and Notice of Termination of Registration under Section 12(g) of
the Securities Exchange Act of 1934 or Suspension of Duty to File Reports Under
Sections 13 and 15(d) of the Securities Exchange Act of 1934.
Commission File Number: 0-3488
H.B. FULLER COMPANY
(Exact name of registrant as specified in its charter)
2400 Energy Park Drive
St. Paul, Minnesota 55108
Telephone: (612) 645-3401
(Address, including zip code, and telephone number, including area code
of registrant's principal executive offices)
Common Stock Purchase Rights (issued pursuant to Amended and
Restated Rights Agreement dated as of October 19, 1989, as amended)
(Title of each class of securities covered by this Form)
Common Stock, $1.00 par value
(Titles of all other classes of securities for which a duty to file reports
under Section 13(a) or 15(d) remains)
Please place an X in the box(es) to designate the appropriate rule
provision(s) relied upon to terminate or suspend the duty to file reports:
Rule 12g-4(a)(1)(i) [X] Rule 12h-3(b)(1)(ii) [_]
Rule 12g-4(a)(1)(ii) [_] Rule 12h-3(b)(2)(i) [_]
Rule 12g-4(a)(2)(i) [_] Rule 12h-3(b)(2)(ii) [_]
Rule 12g-4(a)(2)(ii) [_] Rule 15d-6 [_]
Rule 12h-3(b)(1)(i) [_]
Approximate number of holders of record as of the certification or notice
date: 0
Pursuant to the requirements of the Securities Exchange Act of 1934, H.B.
Fuller Company has caused this certification/notice to be signed on its behalf
by the undersigned duly authorized person.
Date: July 31, 1996
H.B. FULLER COMPANY
By: /s/ Walter Kissling
-------------------------------------
Walter Kissling
President and Chief Executive Officer