Document:

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                                                                    Exhibit 4(h)

                                 [Face of Note]

         Unless this certificate is presented by an authorized representative of
The Depository Trust Company, a New York corporation ("DTC"), to the Issuer or
its agent for registration of transfer, exchange or payment, and any certificate
issued is registered in the name of Cede & Co. or in such other name as
requested by an authorized representative of DTC (and any payment is made to
Cede & Co. or such other entity as is requested by an authorized representative
of DTC), ANY TRANSFER, PLEDGE OR OTHER USE HEREOF FOR VALUE OR OTHERWISE BY OR
TO ANY PERSON IS WRONGFUL inasmuch as the registered owner hereof, Cede & Co.,
has an interest herein.

CUSIP NO. ___________                             PRINCIPAL AMOUNT: $___________

REGISTERED NO. __

                               H.B. FULLER COMPANY

                              ____% Notes due ____

         H.B. FULLER COMPANY, a corporation duly organized and existing under
the laws of the State of Minnesota (hereinafter called the "Company", which term
includes any successor corporation under the Indenture hereinafter referred to),
for value received, hereby promises to pay to CEDE & Co., or registered assigns,
the principal sum of ___________________________ ($___________) on
______________ and to pay interest thereon from _____________ or from the most
recent Interest Payment Date to which interest has been paid or duly provided
for semi-annually on __________ and __________ of each year commencing
________________ at the rate of ____% per annum, until the principal hereof is
paid or made available for payment. The interest so payable, and punctually paid
or duly provided for, on any Interest Payment Date will, as provided in the
Indenture, be paid to the Person in whose name this Security (or one or more
Predecessor Securities) is registered at the close of business on the Regular
Record Date for such interest, which shall be __________ or _____________
(whether or not a Business Day), as the case may be, next preceding such
Interest Payment Date.

         Any interest not punctually paid or duly provided for will forthwith
cease to be payable to the Holder on such Regular Record Date and may either be
paid to the Person in whose name this Security (or one or more Predecessor
Securities) is registered at the close of business on a Special Record Date for
the payment of such Defaulted Interest to be fixed by the Trustee, notice
whereof shall be given to Holders of Securities of this series not less than 10
days prior to

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such Special Record Date, or be paid at any time in any other lawful manner not
inconsistent with the requirements of any securities exchange on which the
Securities of this series may be listed, and upon such notice as may be required
by such exchange, all as more fully provided in the Indenture.

         Payment of interest on this Security will be made in immediately
available funds at the office or agency of the Company maintained for that
purpose in the City of St. Paul, Minnesota, or, at the option of the Holder
hereof, at the office or agency to be maintained for that purpose in the Borough
of Manhattan, The City of New York, in such coin or currency of the United
States of America as at the time of payment is legal tender for payment of
public and private debts; provided, however, that, at the option of the Company,
payment of interest may be paid by check mailed to the Person entitled thereto
at such Person's last address as it appears in the Security Register or by wire
transfer to such account as may have been designated by such Person. Payment of
principal of and interest on this Security at Maturity will be made against
presentation of this Security at the office or agency of the Company maintained
for that purpose in the City of St. Paul, Minnesota, or, at the option of the
Holder hereof, at the office or agency to be maintained for that purpose in the
Borough of Manhattan, The City of New York.

         Reference is hereby made to the further provisions of this Security set
forth on the reverse hereof, which further provisions shall for all purposes
have the same effect as if set forth at this place.

         Unless the certificate of authentication hereon has been executed by
the Trustee referred to on the reverse hereof by manual signature, this Security
shall not be entitled to any benefit under the Indenture or be valid or
obligatory for any purpose.

                                        2

<PAGE>

         IN WITNESS WHEREOF, the Company has caused this instrument to be duly
executed under its corporate seal.

DATED:  _____________

                                      H.B. FULLER COMPANY

                                      By:_______________________________________

                                         Its____________________________________

[SEAL]
                                      Attest:___________________________________

                                         Its____________________________________

TRUSTEE'S CERTIFICATE OF
AUTHENTICATION
This is one of the Securities of the
series designated therein referred to
in the within-mentioned Indenture.

_____________________________________,
   as Trustee

By:__________________________________________
   Authorized Signature

                                        3

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                                [Reverse of Note]

                               H.B. FULLER COMPANY

                              ____% Notes due ____

         This Security is one of a duly authorized issue of securities of the
Company (herein called the "Securities"), issued and to be issued in one or more
series under an indenture dated as of _______________, as amended or
supplemented from time to time (herein called the "Indenture"), between the
Company and __________________________________, as Trustee (herein called the
"Trustee", which term includes any successor trustee under the Indenture), to
which Indenture and all indentures supplemental thereto reference is hereby made
for a statement of the respective rights, limitations of rights, duties and
immunities thereunder of the Company, the Trustee and the Holders of the
Securities, and of the terms upon which the Securities are, and are to be,
authenticated and delivered. This Security is one of the series designated on
the face hereof, limited in aggregate principal amount to $___________.

         [**The Securities of this series are not subject to redemption prior to
________________.] [**The Securities of this series are subject to redemption
prior to _________________ as follows: ____________________________] The
Securities will not be entitled to any sinking fund.

         If an Event of Default, as defined in the Indenture, with respect to
Securities of this series shall occur and be continuing, the principal of the
Securities of this series may be declared due and payable in the manner and with
the effect provided in the Indenture.

         The Indenture permits, with certain exceptions as therein provided, the
amendment thereof and the modification of the rights and obligations of the
Company and the rights of the Holders of the Securities of each series to be
affected under the Indenture at any time by the Company and the Trustee with the
consent of the Holders of a majority in principal amount of the Securities at
the time Outstanding of all series to be affected, acting together as a class.
The Indenture also contains provisions permitting the Holders of specified
percentages in principal amount of the Securities of each series at the time
Outstanding, on behalf of the Holders of all Securities of such series, to waive
certain past defaults under the Indenture and their consequences. In addition,
the Holders of a majority in principal amount of the Securities of all series at
the time Outstanding affected by a particular covenant or condition, acting as
one class, may on behalf of all Holders of such series waive compliance by the
Company with such covenants or conditions. Any such consent or waiver by the
Holder of this Security shall be conclusive and binding upon such Holder and
upon all future Holders of this Security and of any Security issued upon the
registration of transfer hereof or in exchange herefor or in lieu hereof,
whether or not notation of such consent or waiver is made upon this Security.

                                        4

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         The Indenture contains provisions for defeasance at any time of (a) the
entire indebtedness on this Security and (b) certain restrictive covenants and
certain Events of Default, upon compliance by the Company with certain
conditions set forth therein, which provisions apply to this Security.

         Upon due presentment for registration of transfer of this Security at
the office or agency of the Company in the City of St. Paul, Minnesota, or, at
the option of the Holder hereof, at the office or agency to be maintained for
that purpose in the Borough of Manhattan, The City of New York, a new Security
or Securities of this series in authorized denominations for an equal aggregate
principal amount will be issued to the transferee in exchange herefor, as
provided in the Indenture and subject to the limitations provided therein and to
the limitations described below, without charge except for any tax or other
governmental charge imposed in connection therewith.

         This Security is exchangeable for definitive Securities in registered
form only if (x) the Depositary notifies the Company that it is unwilling or
unable to continue as Depositary for this Security or if at any time the
Depositary ceases to be a clearing agency registered under the Securities
Exchange Act of 1934, as amended, (y) the Company in its sole discretion
determines that this Security shall be exchangeable for definitive Securities in
registered form and notifies the Trustee thereof or (z) an Event of Default with
respect to the Securities represented hereby has occurred and is continuing. If
this Security is exchangeable pursuant to the preceding sentence, it shall be
exchangeable for definitive Securities in registered form, bearing interest at
the same rate, having the same date of issuance, redemption provisions, Stated
Maturity and other terms and of authorized denominations aggregating a like
amount.

         This Security may not be transferred except as a whole by the
Depositary to a nominee of the Depositary or by a nominee of the Depositary to
the Depositary or another nominee of the Depositary or by the Depositary or any
such nominee to a successor of the Depositary or a nominee of such successor.
Except as provided above, owners of beneficial interests in this global Security
will not be entitled to receive physical delivery of Securities in definitive
form and will not be considered the Holders hereof for any purpose under the
Indenture.

         No reference herein to the Indenture and no provision of this Security
or of the Indenture shall alter or impair the obligation of the Company, which
is absolute and unconditional, to pay the principal of and interest on this
Security at the times, place and rate, and in the coin or currency, herein
prescribed, except that in the event the Company deposits money or Government
Obligations as provided in Section 401 or 403 of the Indenture, such payments
will be made only from proceeds of such money or Government Obligations.

         Prior to due presentment of this Security for registration of transfer,
the Company, the Trustee and any agent of the Company or the Trustee may treat
the Person in whose name this Security is registered as the owner hereof for all
purposes, whether or not this Security be overdue, and neither the Company, the
Trustee nor any such agent shall be affected by notice to the contrary.

                                        5

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         No recourse shall be had for the payment of the principal of or the
interest on this Security, or for any claim based hereon, or otherwise in
respect hereof, or based on or in respect of the Indenture or any indenture
supplemental thereto, against any incorporator, stockholder, officer or
director, as such, past, present or future, of the Company or any successor
corporation, whether by virtue of any constitution, statute or rule of law, or
by the enforcement of any assessment or penalty or otherwise, all such liability
being, by the acceptance hereof and as part of the consideration for the
issuance hereof, expressly waived and released.

         All terms used in this Security which are defined in the Indenture
shall have the meanings assigned to them in the Indenture.

                                        6

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                                  ABBREVIATIONS

             The following abbreviations, when used in the inscription on the
face of this instrument, shall be construed as though they were written out in
full according to applicable laws or regulations:

TEN COM  --  as tenants in common

TEN ENT  --  as tenants by the entireties

JT TEN   --  as joint tenants with right
             of survivorship and not
             as tenants in common

UNIF GIFT MIN ACT  --  _____________________ Custodian _________________________
                              (Cust)                            (Minor)

Under Uniform Gifts to Minors Act

_____________________________
           (State)

         Additional abbreviations may also be used though not in the above list.

         FOR VALUE RECEIVED, the undersigned hereby sell(s) and transfer(s) unto

Please Insert Social Security or
Other Identifying Number of Assignee

_____________________________

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________
        (Please print or type name and address including postal zip code
                                  of Assignee)

the within Security of H.B. FULLER COMPANY and does hereby irrevocably
constitute and appoint __________________ attorney to transfer the said Security
on the books of the Company, with full power of substitution in the premises.

                                        7

<PAGE>

Dated:  ___________________________

                                            ____________________________________

                                            ____________________________________

NOTICE: The signature to this assignment must correspond with the name as
written upon the face of the within instrument in every particular, without
alteration or enlargement or any change whatever.

                                        8<PAGE>

                                                                    Exhibit 4(i)

                               H.B. FULLER COMPANY

                        _________________________________

                           CERTIFICATE OF DESIGNATIONS
                       Pursuant to Section 302A.401 of the
                       Minnesota Business Corporation Act

                        _________________________________

               CUMULATIVE [CONVERTIBLE] PREFERRED STOCK, SERIES __
                           (Par Value $.01 Per Share)

                        _________________________________

          H.B. FULLER COMPANY, a corporation organized and existing under the
laws of the State of Minnesota (the "Corporation"), HEREBY CERTIFIES that the
following resolutions were duly adopted by the Board of Directors of the
Corporation (the "Board"), pursuant to authority conferred upon the Board by the
provisions of the Restated Articles of Incorporation of the Corporation, which
authorizes the issuance of up to 10,045,900 shares of preferred stock (the
"Preferred Stock"):

          "RESOLVED that the issuance of a series of Preferred Stock, par value
$.01 per share, of the Corporation is hereby authorized and the designation,
preferences and relative, participating, optional, and other special rights, and
qualifications, limitations and restrictions thereof, in addition to those set
forth in the Restated Articles of Incorporation of the Corporation, are hereby
fixed as follows:

          CUMULATIVE [CONVERTIBLE] PREFERRED STOCK, SERIES __

          1. Designation and Number of Shares. (a) The designation of the series
of preferred stock, par value $.01 per share, provided for herein shall be
"Cumulative [Convertible] Preferred Stock, Series ___" (hereinafter referred to
as the "Series __ Preferred Stock") and the number of authorized shares
constituting the Series __ Preferred Stock is _________. The number of
authorized shares of Series __ Preferred Stock may be reduced by further
resolution duly adopted by the Board and by the filing of a certificate pursuant
to the provisions of the Minnesota Business Corporation Act stating that such
reduction has been so authorized, but the number of authorized shares of Series
__ Preferred Stock shall not be increased.

          (b) All shares of Series __ Preferred Stock purchased, redeemed, or
converted by the Corporation shall be retired and cancelled and shall be
restored to the status of

<PAGE>

authorized but unissued shares of preferred stock, without designation as to
series, and may thereafter be issued, but not as shares of Series __ Preferred
Stock.

          2.   Dividends. (a) Holders of shares of Series __ Preferred Stock
will be entitled to receive, when and as declared by the Board or a duly
authorized committee thereof, out of assets of the Corporation legally available
for payment, an annual cash dividend of $_____ per share, payable quarterly on
_____________, ______________, ______________ and _____________ of each year,
commencing _____________, ____. Dividends on shares of the Series __ Preferred
Stock will be cumulative from the date of initial issuance of such shares of
Series __ Preferred Stock. Dividends will be payable, in arrears, to holders of
record as they appear on the stock books of the Corporation on such record
dates, not more than 30 days nor less than 15 days preceding the payment dates
thereof, as shall be fixed by the Board or a duly authorized committee thereof.
The amount of dividends payable per share for each dividend period shall be
computed by dividing by four the $______ annual rate. The amount of dividends
payable for the initial dividend period or any period shorter than a full
dividend period shall be calculated on the basis of a 360-day year of twelve
30-day months.

          (b)  (i)  No full dividends shall be declared or paid or set apart for
payment on any stock of the Corporation ranking, as to dividends, on a parity
with or junior to Series __ Preferred Stock for any period unless full
cumulative dividends have been or contemporaneously are declared and paid or
declared and a sum sufficient for the payment thereof set apart for such payment
on shares of Series __ Preferred Stock for all dividend payment periods
terminating on or prior to the date of payment of such full cumulative
dividends. When dividends are not paid in full, as aforesaid, upon the shares of
Series __ Preferred Stock and any other series of preferred stock ranking on a
parity as to dividends with Series __ Preferred Stock, all dividends declared
upon shares of Series __ Preferred Stock and any other series of preferred stock
ranking on a parity as to dividends with Series __ Preferred Stock shall be
declared pro rata so that the amount of dividends declared per share on Series
__ Preferred Stock and such other series of preferred stock shall in all cases
bear to each other the same ratio that accrued dividends per share on the shares
of Series __ Preferred Stock and such other series of preferred stock bear to
each other. Holders of shares of Series __ Preferred Stock shall not be entitled
to any dividend, whether payable in cash, property, or stock, in excess of full
cumulative dividends, as herein provided, on Series __ Preferred Stock. No
interest, or sum of money in lieu of interest, shall be payable in respect of
any dividend payment or payments on Series __ Preferred Stock which may be in
arrears.

               (ii) So long as any shares of Series __ Preferred Stock are
outstanding, no dividend (other than dividends or distributions paid in shares
of, or options, warrants, or rights to subscribe for or purchase shares of, the
common stock, par value $1.00 per share, of the Corporation (the "Common Stock")
or any other stock ranking junior to Series __ Preferred Stock as to dividends
and upon liquidation and other than as provided in paragraph (b)(i) of this
Section 2), shall be declared or paid or set aside for payment or other

                                       -2-

<PAGE>

distribution declared or made upon the Common Stock or any other capital stock
of the Corporation ranking junior to or on a parity with Series __ Preferred
Stock as to dividends or upon liquidation, nor shall the Common Stock or any
other capital stock of the Corporation ranking junior to or on a parity with
Series __ Preferred Stock as to dividends or upon liquidation be redeemed,
purchased, or otherwise acquired for any consideration (or any moneys be paid to
or made available for a sinking fund for the redemption of any shares of any
such stock) by the Corporation (except by conversion into or exchange for stock
of the Corporation ranking junior to Series __ Preferred Stock as to dividends
and upon liquidation), unless, in each case, the full cumulative dividends on
all outstanding shares of Series __ Preferred Stock shall have been paid or
declared and set aside for payment of the then-current dividend payment period
and all past dividend payment periods.

          3.   Optional Redemption. (a) The shares of Series __ Preferred Stock
may be redeemed at the option of the Corporation, as a whole, or from time to
time in part, at any time, upon not less than 30 nor more than 60 days' prior
notice mailed to the holders of the shares to be redeemed at their addresses as
shown on the stock books of the Corporation; provided, however, that shares of
Series __ Preferred Stock shall not be redeemable prior to ______________, ____.
Subject to the foregoing, shares of Series __ Preferred Stock are redeemable at
the following redemption prices per share (expressed as a percentage of the
liquidation preference thereof), if redeemed during the 12-month period
beginning ______________ in the year indicated:

          Year              Price            Year              Price
          ----              -----            ----              -----

                                %                                  %

and 100% if redeemed on or after ________________, ____, in each case together
with an amount equal to all dividends (whether or not earned or declared)
accrued and accumulated and unpaid to, but excluding, the date fixed for
redemption.

          (b)  If fewer than all of the outstanding shares of Series __
Preferred Stock are to be redeemed, the number of shares to be redeemed shall be
determined by the Board and such shares shall be redeemed pro rata from the
holders of shares of Series __ Preferred Stock in proportion to the number of
such shares held by such holders (with adjustments to avoid redemption of
fractional shares).

          (c)  If the Corporation shall redeem shares of Series __ Preferred
Stock, notice of such redemption shall be mailed or caused to be mailed by the
Corporation by first class mail, postage prepaid, to each holder of the shares
to be redeemed, at such holder's address as the same appears on the stock books
of the Corporation. Such notice shall be so mailed not less than 30 nor more
than 60 days prior to the date fixed for redemption. Each such

                                       -3-

<PAGE>

notice shall state (i) the redemption date, (ii) the number of shares of Series
__ Preferred Stock to be redeemed, (iii) the redemption price, (iv) the place or
places where certificates for such shares of Series __ Preferred Stock are to be
surrendered for payment of the redemption price, [and] (v) that dividends on the
shares to be redeemed will cease to accrue on such redemption date[, and (vi)
the date upon which the holder's conversion rights (as hereinafter defined) as
to such shares terminate]. If fewer than all shares held by any holder are to be
redeemed, the notice mailed to such holder shall also specify the number of
shares to be redeemed from such holder.

          (d) Notwithstanding the foregoing provisions of subsection (a) of this
Section 3, if any dividends on shares of Series __ Preferred Stock are in
arrears, no shares of Series __ Preferred Stock shall be redeemed unless all
outstanding shares of Series __ Preferred Stock are simultaneously redeemed, and
the Corporation shall not purchase or otherwise acquire any shares of Series __
Preferred Stock; provided, however, that the foregoing shall not prevent the
purchase or acquisition of shares of Series __ Preferred Stock pursuant to a
purchase or exchange offer made on the same terms to holders of all outstanding
shares of Series __ Preferred Stock.

          (e) If notice of redemption has been given under subsection (c) of
this Section 3, from and after the redemption date for the shares of Series __
Preferred Stock called for redemption (unless default shall be made by the
Corporation in providing money for the payment of the redemption price of the
shares so called for redemption), dividends on the shares of Series __ Preferred
Stock so called for redemption shall cease to accrue and such shares shall no
longer be deemed to be outstanding, and all rights of the holders thereof as
shareholders of the Corporation (except the right to receive the redemption
price) shall cease. Upon surrender in accordance with such notice of the
certificates for any shares so redeemed (properly endorsed or assigned for
transfer, if the Board or a duly authorized committee thereof shall so require
and the notice shall so state), such shares shall be redeemed by the Corporation
at the redemption price aforesaid. In case fewer than all of the shares
represented by any such certificate are redeemed, a new certificate shall be
issued representing the unredeemed shares without cost to the holder thereof.

          [4. Conversion. (a) Subject to and upon compliance with the provisions
of this Section 4, each holder of Series __ Preferred Stock shall have the
right, at each such holder's option, at any time, to convert any or all of the
shares of Series __ Preferred Stock held by each such holder into the number of
fully paid and nonassessable shares of Common Stock (calculated as to each
conversion, for the purpose of determining the amount of any cash payments
provided for under subsection (c) of this Section 4, to the nearest 1/100 of a
share of Common Stock, with 1/200 of a share of Common Stock being rounded
upward) obtained by dividing the liquidation preference of a share of Series __
Preferred Stock by the Conversion Price (as defined below) and multiplying such
resulting number by the number of shares of Series __ Preferred Stock to be
converted, and by surrender of such shares of Series __

                                       -4-

<PAGE>

Preferred Stock so to be converted, such surrender to be made in the manner
provided in subsection (b) of this Section 4; provided, however, that the right
to convert shares called for redemption pursuant to Section 3 shall terminate at
the close of business on the date fixed for such redemption unless the
Corporation shall default in making payment of the amount payable upon such
redemption.

          [The term "Applicable Price" means (i) in the event of a Fundamental
Change (as hereinafter defined) in which the holders of the Common Stock receive
only cash, the amount of cash received by a holder of one share of Common Stock
and (ii) in the event of any other Fundamental Change, the average of the
reported last sale prices for one share of the Common Stock (determined as set
forth in paragraph (d)(vi) of this Section 4) during the ten Trading Days (as
defined in paragraph (d)(vi) of this Section 4) prior to the record date for the
determination of the holders of Common Stock entitled to receive cash,
securities, property, or other assets in connection with such Fundamental
Change, or, if there is no such record date, prior to the date upon which the
holders of Common Stock shall have the right to receive such cash, securities,
property, or other assets.]

          For purposes of this Section 4, the term "Common Stock" shall mean the
Common Stock of the Corporation as the same exists at the date of this
Certificate of Designations or as such stock may be constituted from time to
time, except that for purposes of subsection (e) of this Section 4, the term
"Common Stock" shall also mean and include stock of the Corporation of any
class, whether now or hereafter authorized, which shall have the right to
participate in the distribution of either earnings or assets of the Corporation
without limit as to amount or percentage.

          [The term "Common Stock Fundamental Change" means any Fundamental
Change in which more than 50% (by value as determined in good faith by the
Board) of the consideration received by holders of Common Stock consists of
common stock that, for the ten Trading Days (as defined in paragraph (d)(vi) of
this Section 4) prior to such Fundamental Change, has been admitted for listing
on a national securities exchange or quoted on the National Market System of the
National Association of Securities Dealers, Inc. Automated Quotations System.]

          The term "Conversion Price" shall mean $___, as adjusted in accordance
with the provisions of this Section 4.

          [The term "Fundamental Change" means the occurrence of any transaction
or event in connection with which all or substantially all the Common Stock
shall be exchanged for, converted into, or acquired for, or shall constitute
solely the right to receive, cash, securities, property, or other assets
(whether by means of an exchange offer, liquidation, tender offer,
consolidation, merger, combination, reclassification, recapitalization, or
otherwise). In the case of a plan involving more than one such transaction or
event, for purposes of adjustment

                                       -5-

<PAGE>

of the Conversion Price, such Fundamental Change shall be deemed to have
occurred when substantially all the Common Stock shall have been exchanged for,
converted into, or acquired for, or shall constitute solely the right to
receive, such cash, securities, property, or other assets, but the adjustment
shall be based upon the consideration that the holders of Common Stock received
in the transaction or event as a result of which more than 50% of the Common
Stock shall have been exchanged for, converted into, or acquired for, or shall
constitute solely the right to receive, such cash, securities, property, or
other assets.]

          [The term "Non-Stock Fundamental Change" means any Fundamental Change
other than a Common Stock Fundamental Change.]

          [The term "Purchaser Stock Price" means, with respect to any Common
Stock Fundamental Change, the average of the reported last sale prices for one
share of the common stock received by holders of Common Stock in such Common
Stock Fundamental Change (determined as set forth in paragraph (d)(vi) of this
Section 4 as if such paragraph were applicable to such common stock) during the
ten Trading Days (as defined in paragraph (d)(vi) of this Section 4) prior to
the record date for the determination of the holders of Common Stock entitled to
receive such common stock or, if there is no such record date, prior to the date
upon which the holders of Common Stock shall have the right to receive such
common stock.]

          [The term "Reference Market Price" shall initially mean $__________,
and, in the event of any adjustment to the Conversion Price pursuant to
paragraphs (d)(i), (d)(ii), (d)(iii), (d)(iv) or (d)(v)of this Section 4, the
Reference Market Price shall also be adjusted so that the ratio of the Reference
Market Price to the Conversion Price after giving effect to any such adjustment
shall always be the same as the ratio of $_______ to the Conversion Price set
forth in this Certificate of Designations (without regard to any adjustment
thereto).]

          (b) In order to exercise the conversion privilege, the holder of each
share of Series __ Preferred Stock to be converted shall surrender the
certificate representing such share at the office of the conversion agent for
the Series __ Preferred Stock in [_________________________], appointed for such
purpose by the Corporation, with the Notice of Election to Convert on the back
of such certificate completed and signed. Unless the shares issuable on
conversion are to be issued in the same name as the name in which such share of
Series __ Preferred Stock is registered, each share surrendered for conversion
shall be accompanied by instruments of transfer, in form satisfactory to the
Corporation, duly executed by the holder or the holder's duly authorized
attorney, and by an amount sufficient to pay any transfer or similar tax.

          The holders of shares of Series __ Preferred Stock at the close of
business on a dividend payment record date shall be entitled to receive the
dividend payable on such shares (except that holders of shares called for
redemption on a redemption date between such record date and the dividend
payment date shall not be entitled to receive such dividend on such

                                       -6-

<PAGE>

dividend payment date) on the corresponding dividend payment date,
notwithstanding the conversion thereof or the Corporation's default in payment
of the dividend due on such dividend payment date. However, shares of Series __
Preferred Stock surrendered for conversion during the period between the close
of business on any dividend payment record date and the opening of business on
the corresponding dividend payment date (except shares called for redemption on
a redemption date during such period) must be accompanied by payment of an
amount equal to the dividend payable on such shares on such dividend payment
date. A holder of shares of Series __ Preferred Stock on a dividend payment
record date who (or whose transferee) tenders any of such shares for conversion
into shares of Common Stock on a dividend payment date will receive the dividend
payable by the Corporation on such shares of Series __ Preferred Stock on such
date, and the converting holder need not include payment in the amount of such
dividend upon surrender of shares of Series __ Preferred Stock for conversion.
Except as provided above, the Corporation shall make no payment or allowance for
unpaid dividends, whether or not in arrears, on converted shares or for
dividends on the shares of Common Stock issued upon such conversion.

          As promptly as practicable after the surrender of the certificates for
shares of Series __ Preferred Stock as aforesaid, the Corporation shall issue
and shall deliver at the office of the conversion agent to such holder, or on
such holder's written order, a certificate or certificates for the number of
full shares of Common Stock issuable upon the conversion of such shares in
accordance with the provisions of this Section 4, and any fractional interest in
respect of a share of Common Stock arising upon such conversion shall be settled
as provided in subsection (c) of this Section 4.

          Each conversion shall be deemed to have been effected immediately
prior to the close of business on the date on which the certificates for shares
of Series __ Preferred Stock shall have been surrendered and such notice (and,
if applicable, payment of an amount equal to the dividend payable on such
shares) received by the Corporation as aforesaid, and the person or persons in
whose name or names any certificate or certificates for shares of Common Stock
shall be issuable upon such conversion shall be deemed to have become the holder
or holders of record of the shares represented thereby at such time on such
date, and such conversion shall be at the Conversion Price in effect at such
time on such date, unless the stock transfer books of the Corporation shall be
closed on such date, in which event such person or persons shall be deemed to
have become such holder or holders of record at the close of business on the
next succeeding day on which such stock transfer books are open, but such
conversion shall be at the Conversion Price in effect on the date upon which
such shares shall have been surrendered and such notice (and, if applicable,
payment) received by the Corporation. All shares of Common Stock delivered upon
conversion of the Series __ Preferred Stock will upon delivery be duly and
validly issued and fully paid and nonassessable, free of all liens and charges
and not subject to any preemptive rights.

                                       -7-

<PAGE>

          (c)  In connection with the conversion of any shares of Series __
Preferred Stock, no fractional shares or scrip representing fractions of shares
of Common Stock shall be issued upon conversion of Series __ Preferred Stock.
Instead of any fractional interest in a share of Common Stock which would
otherwise be deliverable upon the conversion of a share of Series __ Preferred
Stock or a fraction thereof, the Corporation shall pay to the holder of such
share of Series __ Preferred Stock or fraction thereof an amount in cash
(computed to the nearest cent, with one-half cent being rounded upward) equal to
the reported last sale price (as defined in paragraph (d)(vi) of this Section 4)
of the Common Stock on the Trading Day (as defined in paragraph (d)(vi) of this
Section 4) next preceding the day of conversion multiplied by the fraction of a
share of Common Stock represented by such fractional interest. If more than one
share of Series __ Preferred Stock shall be surrendered for conversion at one
time by the same holder, the number of full shares of Common Stock issuable upon
conversion thereof shall be computed on the basis of the aggregate liquidation
preference of the shares of Series __ Preferred Stock so surrendered.

          (d)  The Conversion Price shall be adjusted from time to time as
follows:

               (i)   In case the Corporation shall (x) pay a dividend or make a
     distribution on the Common Stock in shares of Common Stock, (y) subdivide
     the outstanding Common Stock into a greater number of shares, or (z)
     combine the outstanding Common Stock into a smaller number of shares, the
     Conversion Price shall be adjusted so that the holder of any share of
     Series __ Preferred Stock thereafter surrendered for conversion shall be
     entitled to receive the number of shares of Common Stock of the Corporation
     which such holder would have owned or have been entitled to receive after
     the happening of any of the events described above had such share been
     converted immediately prior to the record date in the case of a dividend or
     the effective date in the case of subdivision or combination. An adjustment
     made pursuant to this paragraph (i) shall become effective immediately
     after the record date in the case of a dividend, except as provided in
     paragraph (ix) below, and shall become effective immediately after the
     effective date in the case of a subdivision or combination.

               [(ii) [Except for [list exempted issuances], in] [In] case the
     Corporation shall issue rights or warrants to all holders of the Common
     Stock entitling them (for a period expiring within 45 days after the record
     date mentioned below) to subscribe for or purchase shares of Common Stock
     at a price per share less than the current market price per share of Common
     Stock (as defined for purposes of this paragraph (ii) in paragraph (vi)
     below), at the record date for the determination of shareholders entitled
     to receive such rights or warrants, the Conversion Price in effect
     immediately prior thereto shall be adjusted so that the same shall equal
     the price determined by multiplying the Conversion Price in effect
     immediately prior to the date of issuance of such rights or warrants by a
     fraction, the numerator of which shall be the number of shares of Common
     Stock outstanding on the date of issuance of such rights or

                                       -8-

<PAGE>

     warrants plus the number of shares of Common Stock which the aggregate
     offering price of the total number of shares of Common Stock so offered
     would purchase at such current market price, and the denominator of which
     shall be the number of shares of Common Stock outstanding on the date of
     issuance of such rights or warrants plus the number of additional shares of
     Common Stock receivable upon exercise of such rights or warrants. Such
     adjustment shall be made successively whenever any such rights or warrants
     are issued, and shall become effective immediately, except as provided in
     paragraph (ix) below, after such record date. In determining whether any
     rights or warrants entitle the holders of the Series __ Preferred Stock to
     subscribe for or purchase shares of Common Stock at less than such current
     market price, and in determining the aggregate offering price of such
     shares of Common Stock, there shall be taken into account any consideration
     received by the Corporation for such rights or warrants plus the exercise
     price thereof, the value of such consideration or exercise price, as the
     case may be, if other than cash, to be determined by the Board.]

                    [(iii) In case the Corporation shall distribute to all
     holders of Common Stock any shares of capital stock of the Corporation
     (other than Common Stock) or evidences of its indebtedness or assets
     (excluding cash dividends or distributions paid from retained earnings of
     the Corporation) or rights or warrants to subscribe for or purchase any of
     its securities (excluding those rights or warrants referred to in paragraph
     (ii) above) (any of the foregoing being hereinafter in this paragraph (iii)
     called the "Securities"), then, in each such case, unless the Corporation
     elects to reserve such Securities for distribution to the holders of the
     Series __ Preferred Stock upon the conversion of the shares of Series __
     Preferred Stock so that any such holder converting shares of Series __
     Preferred Stock will receive upon such conversion, in addition to the
     shares of the Common Stock to which such holder is entitled, the amount and
     kind of such Securities which such holder would have received if such
     holder had, immediately prior to the record date for the distribution of
     the Securities, converted its shares of Series __ Preferred Stock into
     Common Stock, the Conversion Price shall be adjusted so that the same shall
     equal the price determined by multiplying the Conversion Price in effect
     immediately prior to the date of such distribution by a fraction, the
     numerator of which shall be the current market price per share (as defined
     for purposes of this paragraph (iii) in paragraph (vi) below) of the Common
     Stock on the record date mentioned above less the then fair market value
     (as determined by the Board, whose determination shall, if made in good
     faith, be conclusive) of the portion of the Securities so distributed
     applicable to one share of Common Stock, and the denominator of which shall
     be the current market price per share (as defined in paragraph (vi) below)
     of the Common Stock; provided, however, that in the event the then fair
     market value (as so determined) of the portion of the Securities so
     distributed applicable to one share of Common Stock is equal to or greater
     than the current market price per share (as defined in paragraph (vi)
     below) of the Common Stock on the record date mentioned above, in lieu of
     the foregoing adjustment, adequate provision shall be made so that each
     holder of

                                       -9-

<PAGE>

     shares of Series __ Preferred Stock shall have the right to receive the
     amount and kind of Securities such holder would have received had such
     holder converted each such share of Series __ Preferred Stock immediately
     prior to the record date for the distribution of the Securities. Such
     adjustment shall become effective immediately, except as provided in
     paragraph (ix) below, after the record date for the determination of
     shareholders entitled to receive such distribution.]

               [(iv) In the event that the rights issued under the Rights
     Agreement dated as of July 18, 1996, as amended by First Amendment of
     Rights Agreement dated January 23, 2001 (the "Rights Agreement") become
     exercisable and the holders thereof are entitled to subscribe for or
     purchase shares of Common Stock at a price per share less than the current
     market price per share of Common Stock (as defined for purposes of this
     paragraph (iv) in paragraph (vi) below), the Conversion Price in effect
     immediately prior to the Distribution Date (as defined in the Rights
     Agreement) shall be adjusted so that the same shall equal the price
     determined by multiplying the Conversion Price in effect immediately prior
     to the Distribution Date by a fraction, the numerator of which shall be the
     number of shares of Common Stock outstanding on the Distribution Date plus
     the number of shares of Common Stock which the aggregate offering price of
     the total number of shares of Common Stock so offered would purchase at
     such current market price, and the denominator of which shall be the number
     of shares of Common Stock outstanding on the Distribution Date plus the
     number of additional shares of Common Stock receivable upon exercise of the
     rights. In determining the aggregate offering price of such shares of
     Common Stock, there shall be taken into account any consideration received
     by the Corporation for such rights plus the exercise price thereof, the
     value of such consideration or exercise price, as the case may be, if other
     than cash, to be determined by the Board.]

               [(v)  If, pursuant to paragraph (ii), (iii) or (iv) above, the
     Conversion Price at which a share of Series __ Preferred Stock is
     convertible shall have been adjusted because the Corporation has declared a
     dividend or made a distribution on the outstanding shares of Common Stock
     in the form of any right or warrant to purchase securities of the
     Corporation, or the Corporation has issued any such right or warrant, then,
     upon the expiration of any such unexercised right or unexercised warrant,
     the Conversion Price shall forthwith be adjusted to equal the Conversion
     Price that would have applied had such right or warrant never been
     declared, distributed, or issued.]

               [(vi) For the purpose of any computation under paragraph (ii) [or
     (iv)] above, the current market price per share of Common Stock on any date
     shall be deemed to be the average of the reported last sale prices for the
     30 consecutive Trading Days (as defined below) commencing 45 Trading Days
     before the date in question. For the purpose of any computation under
     paragraph (iii) above, the current market price per share of Common Stock
     on any date shall be deemed to be the average of the reported

                                      -10-

<PAGE>

     last sales prices for the ten consecutive Trading Days before the date in
     question. The reported last sale price for each day (whether for purposes
     of paragraph (ii) or paragraph (iii) [or paragraph (iv)]) shall be the
     reported last sale price, regular way, or, in case no sale takes place on
     such day, the average of the reported closing bid and asked prices, regular
     way, in either case as reported on the New York Stock Exchange Composite
     Tape or, if the Common Stock is not listed or admitted to trading on the
     New York Stock Exchange, on the principal national securities exchange on
     which the Common Stock is listed or admitted to trading or, if not listed
     or admitted to trading on any national securities exchange, on the National
     Market System of the National Association of Securities Dealers, Inc.
     Automated Quotations System ("NASDAQ") or, if the Common Stock is not
     quoted on such National Market System, the average of the closing bid and
     asked prices on such day in the over-the-counter market as reported by
     NASDAQ or, if bid and asked prices for the Common Stock on each such day
     shall not have been reported through NASDAQ, the average of the bid and
     asked prices for such day as furnished by any New York Stock Exchange
     member firm regularly making a market in the Common Stock selected for such
     purpose by the Board or a committee thereof or, if no such quotations are
     available, the fair market value of the Common Stock as determined by a New
     York Stock Exchange member firm regularly making a market in the Common
     Stock selected for such purpose by the Board or a committee thereof. As
     used herein, the term "Trading Day" with respect to Common Stock means (x)
     if the Common Stock is listed or admitted for trading on the New York Stock
     Exchange or another national securities exchange, a day on which the New
     York Stock Exchange or such other national securities exchange is open for
     business or (y) if the Common Stock is quoted on the National Market System
     of NASDAQ, a day on which trades may be made on such National Market System
     or (z) otherwise, any day other than a Saturday or Sunday or a day on which
     banking institutions in the State of New York are authorized or obligated
     by law or executive order to close.]

               (vii) No adjustment in the Conversion Price shall be required
     unless such adjustment would require an increase or decrease of at least 1%
     in such price; provided, however, that any adjustments which by reason of
     this paragraph (vii) are not required to be made shall be carried forward
     and taken into account in any subsequent adjustment; and provided further
     that adjustment shall be required and made in accordance with the
     provisions of this Section 4 (other than this paragraph (vii)) not later
     than such time as may be required in order to preserve the tax free nature
     of a distribution to the holders of Common Stock. All calculations under
     this Section 4 shall be made to the nearest cent or to the nearest 1/100 of
     a share, as the case may be, with one-half cent and 1/200 of a share,
     respectively, being rounded upward. Anything in this subsection (d) to the
     contrary notwithstanding, the Corporation shall be entitled to make such
     reductions in the Conversion Price, in addition to those required by this
     subsection (d), as it in its discretion shall determine to be advisable in
     order that any stock dividend, subdivision of shares, distribution of
     rights or warrants to purchase stock

                                      -11-

<PAGE>

     or securities, or distribution of other assets (other than cash dividends)
     hereafter made by the Corporation to its shareholders shall not be taxable.

               (viii) Whenever the Conversion Price is adjusted as herein
     provided, the Corporation shall promptly file with any conversion agent an
     officers' certificate, signed by the Chairman, the President or any Vice
     President, and by the Treasurer, an Assistant Treasurer, the Secretary, or
     an Assistant Secretary of the Corporation, setting forth the Conversion
     Price after such adjustment and setting forth a brief statement of the
     facts requiring such adjustment, which certificate shall be conclusive
     evidence of the correctness of such adjustment. Promptly after delivery of
     such certificate, the Corporation shall prepare a notice of such adjustment
     of the Conversion Price setting forth the adjusted Conversion Price and the
     date on which such adjustment becomes effective and shall mail such notice
     of such adjustment of the Conversion Price to the holders of shares of
     Series __ Preferred Stock at their addresses as shown on the stock books of
     the Corporation.

               (ix)   In any case in which this subsection (d) provides that an
     adjustment shall become effective immediately after a record date for an
     event, the Corporation may defer until the occurrence of such event (y)
     issuing to the holder of any share of Series __ Preferred Stock converted
     after such record date and before the occurrence of such event the
     additional shares of Common Stock issuable upon such conversion by reason
     of the adjustment required by such event over and above the Common Stock
     issuable upon such conversion before giving effect to such adjustment and
     (z) paying to such holder any amount in cash in lieu of any fractional
     share of Common Stock pursuant to subsection (c) of this Section 4.

          (e)  If:

               (i)    the Corporation shall declare a dividend (or any other
     distribution) on the Common Stock (other than in cash out of retained
     earnings); or

               [(ii)  [except for [list exempted issuances],] the Corporation
     shall authorize the granting to the holders of Common Stock of rights or
     warrants to subscribe for or purchase any shares of any class of capital
     stock of the Corporation or any other rights or warrants; or]

               (iii)  there shall be any reclassification or change of the
     Common Stock (other than a subdivision or combination of the outstanding
     Common Stock and other than a change in the par value, or from par value to
     no par value, or from no par value to par value), or any consolidation,
     merger, or statutory share exchange to which the Corporation is a party and
     for which approval of any shareholders of the Corporation is

                                      -12-

<PAGE>

     required, or any sale or transfer of all or substantially all the assets of
     the Corporation as an entirety or any Fundamental Change; or

               (iv) there shall be a voluntary or involuntary dissolution,
     liquidation, or winding up of the Corporation,

then the Corporation shall cause to be filed with the conversion agent and shall
cause to be mailed to the holders of shares of the Series __ Preferred Stock at
their addresses as shown on the stock books of the Corporation, at least 15 days
prior to the applicable date hereinafter specified, a notice stating (y) the
date on which a record is to be taken for the purpose of such dividend,
distribution, or granting of rights or warrants, or, if a record is not to be
taken, the date as of which the holders of Common Stock of record to be entitled
to such dividend, distribution, or rights or warrants are to be determined, or
(z) the date on which such reclassification, change, consolidation, merger,
statutory share exchange, sale, transfer, Fundamental Change, dissolution,
liquidation, or winding up is expected to become effective and the date as of
which it is expected that holders of Common Stock of record shall be entitled to
exchange their shares of Common Stock for securities or other property
deliverable upon such reclassification, change, consolidation, merger, statutory
share exchange, sale, transfer, Fundamental Change, dissolution, liquidation, or
winding up. Failure to give such notice or any defect therein shall not affect
the legality or validity of the proceedings described in subsection (h) of this
Section 4 or in paragraph (d)(i) [, (d)(ii), (d)(iii), or (d)(iv)] of this
Section 4.

          (f)  The Corporation covenants that it will at all times reserve and
keep available, free from preemptive rights, out of the aggregate of its
authorized but unissued shares of Common Stock, for the purpose of effecting
conversions of the Series __ Preferred Stock, the full number of shares of
Common Stock deliverable upon the conversion of all outstanding shares of Series
__ Preferred Stock not theretofore converted. For purposes of this subsection
(f), the number of shares of Common Stock which shall be deliverable upon the
conversion of all outstanding shares of Series __ Preferred Stock shall be
computed as if at the time of computation all such outstanding shares were held
by a single holder.

          Before taking any action which would cause any adjustment reducing the
Conversion Price below the then par value (if any) of the shares of Common Stock
deliverable upon conversion of the Series __ Preferred Stock, the Corporation
will take any corporate action which may, in the opinion of its counsel, be
necessary in order that the Corporation may validly and legally issue fully paid
and nonassessable shares of Common Stock at such adjusted Conversion Price.

          The Corporation will endeavor to list the shares of Common Stock
required to be delivered upon conversion of the Series __ Preferred Stock prior
to such delivery upon each

                                      -13-

<PAGE>

national securities exchange, if any, upon which the outstanding Common Stock is
listed at the time of such delivery.

          Prior to the delivery of any securities which the Corporation shall be
obligated to deliver upon conversion of the Series __ Preferred Stock, the
Corporation will endeavor to comply with all federal and state laws and
regulations thereunder requiring the registration of such securities with, or
any approval of or consent to the delivery thereof by, any governmental
authority.

          (g) The Corporation will pay any and all documentary stamp or similar
issue or transfer taxes payable in respect of the issue or delivery of shares of
Common Stock on conversions of the Series __ Preferred Stock pursuant hereto;
provided, however, that the Corporation shall not be required to pay any tax
which may be payable in respect of any transfer involved in the issue or
delivery of shares of Common Stock in a name other than that of the holder of
the Series __ Preferred Stock to be converted and no such issue or delivery
shall be made unless and until the person requesting such issue or delivery has
paid to the Corporation the amount of any such tax or has established, to the
satisfaction of the Corporation, that such tax has been paid.

          (h) Notwithstanding any other provision herein to the contrary, if any
of the following events occur, namely (w) any reclassification or change of
outstanding shares of Common Stock (other than a change in par value, or from
par value to no par value, or from no par value to par value, or as a result of
a subdivision or combination of the Common Stock), (x) any consolidation,
merger, or combination of the Corporation with or into another corporation as a
result of which holders of Common Stock shall be entitled to receive stock,
securities, or other property or assets (including cash) with respect to or in
exchange for such Common Stock, [(y) any sale or conveyance of the properties
and assets of the Corporation as, or substantially as, an entirety to any other
entity as a result of which holders of Common Stock shall be entitled to receive
stock, securities, or other property or assets (including cash) with respect to
or in exchange for such Common Stock,] or (z) any Fundamental Change (including
any event referred to in the foregoing clauses [(w), (x), or (y)] that
constitutes a Fundamental Change), then appropriate provision shall be made so
that the holder of each share of Series __ Preferred Stock then outstanding
shall have the right to convert such share into the kind and amount of the
shares of stock and other securities or property or assets (including cash) that
would have been receivable upon such reclassification, change, consolidation,
merger, combination, sale, conveyance, or Fundamental Change by a holder of the
number of shares of Common Stock issuable upon conversion of such share of
Series __ Preferred Stock immediately prior to such reclassification, change,
consolidation, merger, combination, sale, conveyance, or Fundamental Change [;
provided, however, that, if the event referred to in clauses [(w) through (z)]
above constitutes a Non-Stock Fundamental Change, each holder of Series __
Preferred Stock shall be entitled, upon conversion thereof, to receive such
amount of shares of stock, other securities, or property or assets (including
cash) as is determined by the

                                      -14-

<PAGE>

number of shares of Common Stock receivable upon conversion at the Conversion
Price as adjusted in accordance with clause (i) of the following paragraph of
this subsection (h); and provided, further, that, if the event referred to in
clauses [(w) through (z)] above constitutes a Common Stock Fundamental Change,
the foregoing provisions of this subsection (h) shall not apply, but each holder
of Series __ Preferred Stock shall be entitled, upon conversion thereof at any
time following such Common Stock Fundamental Change, to receive such number of
shares of common stock of the successor or acquiring entity as is determined by
use of the Conversion Price as adjusted in accordance with clause (ii) of the
following paragraph of this subsection (h)]. The adjustments described in this
subsection (h) shall be subject to further adjustments as appropriate that shall
be as nearly equivalent as may be practicable to the relevant adjustments
provided for in this Section 4. If, in the case of any such consolidation,
merger, combination, sale, conveyance, or Fundamental Change, the stock or other
securities and property receivable thereupon by a holder of shares of Common
Stock include shares of stock, securities, or other property or assets
(including cash) of an entity other than the successor or acquiring entity, as
the case may be, in such consolidation, merger, combination, sale, conveyance,
or Fundamental Change, then the Corporation shall enter into an agreement with
such other entity for the benefit of the holders of Series __ Preferred Stock
that shall contain such provisions to protect the interests of such holders as
the Board shall reasonably consider necessary by reason of the foregoing.

          [For purposes of calculating any adjustment to be made in connection
with the occurrence of a Fundamental Change:]

               [(i) in the case of a Non-Stock Fundamental Change, the
     Conversion Price shall be deemed to be the lower of (1) the Conversion
     Price in effect immediately prior to such Non-Stock Fundamental Change and
     (2) the product of (a) the greater of the Applicable Price and the
     Reference Market Price and (b) a fraction, the numerator of which is $_____
     and the denominator of which is the amount at which one share of Series __
     Preferred Stock would be redeemed by the Corporation if the redemption date
     were the date of such Non-Stock Fundamental Change (such denominator being
     the sum of (x) the product of the percentage (expressed as a decimal) set
     forth in the table in Section 3 above or, for the period commencing
     ________________, ____, and ending ___________________, ____, the 12-month
     period commencing _______________, ____, the 12-month period commencing
     __________________, ____, and the 12-month period commencing ____________,
     ____, ____%, ____%, ____%, and ____%, respectively, and $_____, and (y) any
     then-accrued and then-accumulated and unpaid dividends on the Series __
     Preferred Stock); provided, however, that if there were accrued or
     accumulated and unpaid dividends with respect to the Series __ Preferred
     Stock at the time of such Non-Stock Fundamental Change ("Passed Dividends")
     and if, thereafter, all (or any portion) of such Passed Dividends are paid
     by the Corporation, then the Conversion Price to be used in determining the
     amount of consideration to which holders of Series __ Preferred Stock who
     have not converted their shares of

                                      -15-

<PAGE>

     Series __ Preferred Stock shall be entitled upon conversion thereof shall
     be deemed to be the Conversion Price that would have been used in making
     such determination if all (or such portion) of such Passed Dividends had
     not been accrued or accumulated and unpaid at such time; and]

               [(ii) in the case of a Common Stock Fundamental Change, the
     Conversion Price of the shares of Series __ Preferred Stock immediately
     following such Common Stock Fundamental Change shall be the Conversion
     Price in effect immediately prior to such Common Stock Fundamental Change
     multiplied by a fraction, the numerator of which is the Purchaser Stock
     Price and the denominator of which is the Applicable Price; provided,
     however, that in the event of a Common Stock Fundamental Change in which
     (A) 100% by value of the consideration received by a holder of Common Stock
     is common stock of the successor, acquiror, or other third party (and cash,
     if any, is paid with respect to any fractional interests in such common
     stock resulting from such Common Stock Fundamental Change) and (B) all of
     the Common Stock of the Company shall have been exchanged for, converted
     into, or acquired for [common stock of the successor, acquiror, or other
     third party], the Conversion Price of the shares of Series __ Preferred
     Stock immediately following such Common Stock Fundamental Change shall be
     the Conversion Price in effect immediately prior to such Common Stock
     Fundamental Change multiplied by a fraction, the numerator of which is one
     (1) and the denominator of which is the number of shares of common stock of
     the successor, acquiror, or other third party received by a holder of one
     share of Common Stock as a result of such Common Stock Fundamental
     Change.]]

          5.   Liquidation Rights. (a) Upon the dissolution, liquidation, or
winding up of the Corporation, the holders of the shares of Series __ Preferred
Stock shall be entitled to receive and to be paid out of the assets of the
Corporation available for distribution to its shareholders, before any payment
or distribution shall be made on the Common Stock or any other class of stock
ranking junior to Series __ Preferred Stock upon liquidation, the amount of
$_____ per share, plus a sum equal to all dividends (whether or not earned or
declared) on such shares accrued and unpaid thereon to the date of final
distribution.

          (b)  Neither the sale of all or substantially all the property and
assets of the Corporation, nor the merger or consolidation of the Corporation
into or with any other corporation, nor the merger or consolidation of any other
corporation into or with the Corporation shall be deemed to be a dissolution,
liquidation, or winding up, voluntary or involuntary, for the purposes of this
Section 5.

          (c)  After the payment to the holders of the shares of Series __
Preferred Stock of the full preferential amounts provided for in this Section 5,
the holders of Series __ Preferred Stock, as such, shall have no right or claim
to any of the remaining assets of the Corporation.

                                      -16-

<PAGE>

          (d)  In the event the assets of the Corporation available for
distribution to the holders of shares of Series __ Preferred Stock upon any
dissolution, liquidation, or winding up of the Corporation, whether voluntary or
involuntary, shall be insufficient to pay in full all amounts to which such
holders are entitled pursuant to subsection (a) of this Section 5, no such
distribution shall be made on account of any shares of any other series of
preferred stock or other capital stock of the Corporation ranking on a parity
with the shares of Series __ Preferred Stock upon such dissolution, liquidation,
or winding up unless proportionate distributive amounts shall be paid on account
of the shares of Series __ Preferred Stock, ratably, in proportion to the full
distributable amounts for which holders of all such parity shares are
respectively entitled upon such dissolution, liquidation, or winding up.

          (e)  Subject to the rights of the holders of the shares of any series
or class or classes of stock ranking on a parity with or prior to the shares of
Series __ Preferred Stock upon liquidation, dissolution, or winding up, upon any
liquidation, dissolution, or winding up of the Corporation, after payment shall
have been made in full to the holders of the shares of Series __ Preferred Stock
as provided in this Section 5, but not prior thereto, any other series or class
or classes of stock ranking junior to the shares of Series __ Preferred Stock
upon liquidation shall, subject to the respective terms and provisions (if any)
applying thereto, be entitled to receive any and all assets remaining to be paid
or distributed, and the holders of the shares of Series __ Preferred Stock shall
not be entitled to share therein.

          6.   Ranking. For the purposes of this resolution, any stock of any
series or class or classes of the Corporation shall be deemed to rank:

          (a)  prior to the shares of Series __ Preferred Stock, either as to
dividends or upon liquidation, if the holders of such series or class or classes
shall be entitled to the receipt of dividends or of amounts distributable upon
dissolution, liquidation, or winding up of the Corporation, as the case may be,
in preference or priority to the holders of shares of Series __ Preferred Stock;

          (b)  on a parity with shares of Series __ Preferred Stock, either as
to dividends or upon liquidation, whether or not the dividend rates, dividend
payment dates, or redemption or liquidation prices per share, or sinking fund
provisions, if any, be different from those of Series __ Preferred Stock, if the
holders of such stock shall be entitled to the receipt of dividends or of
amounts distributable upon dissolution, liquidation, or winding up of the
Corporation, as the case may be, in proportion to their respective dividend
rates or liquidation prices, without preference or priority, one over the other,
as between the holders of such stock and the holders of shares of Series __
Preferred Stock; and

          (c)  junior to shares of Series __ Preferred Stock, either as to
dividends or upon liquidation, if such class shall be Common Stock or if the
holders of shares of Series __

                                      -17-

<PAGE>

Preferred Stock shall be entitled to receipt of dividends or of amounts
distributable upon dissolution, liquidation, or winding up of the Corporation,
as the case may be, in preference or priority to the holders of shares of such
series or class or classes.

          7. Priority of Series Preferred Stock. The shares of Series _
Preferred Stock will rank on a parity, both as to payment of dividends and the
distribution of assets upon liquidation, with the Corporation's
[______________________________________]. The Series _ Preferred Stock will rank
prior, both as to payment of dividends and the distribution of assets upon
liquidation, to the Common Stock and the Corporation's [______________].

          8. Voting Rights. The shares of Series __ Preferred Stock, except as
hereinafter set forth or as otherwise from time to time required by law, shall
not have voting rights.

          So long as any shares of Series ___ Preferred Stock remain
outstanding, the consent of the holders of at least two-thirds of the shares of
Series __ Preferred Stock outstanding at the time (voting separately as a class
together with all other series of Preferred Stock ranking on a parity with the
Series __ Preferred Stock either as to dividends or the distribution of assets
upon liquidation, dissolution or winding up and upon which like voting rights
have been conferred and are exercisable) given in person or by proxy, either in
writing or at any special or annual meeting called for the purpose, shall be
necessary to permit, effect or validate any one or more of the following:

          (a) the authorization, creation or issuance, or any increase in the
     authorized or issued amount, of any class or series of stock ranking prior
     to the Series __ Preferred Stock with respect to payment of dividends or
     the distribution of assets on liquidation, dissolution or winding up, or

          (b) the amendment, alteration or repeal, whether by merger,
     consolidation or otherwise, of any of the provisions of the Restated
     Articles of Incorporation or of the resolutions set forth in a Certificate
     of Designation for the Series __ Preferred Stock and the preferences and
     relative, participating, optional and other special rights and
     qualifications, limitations and restrictions thereof which would materially
     and adversely affect any right, preference, privilege or voting power of
     the Series __ Preferred Stock or of the holders thereof; provided, however,
     that any increase in the amount of authorized Preferred Stock or the
     creation and issuance of other series of Preferred Stock, or any increase
     in the amount of authorized shares of any series of Preferred Stock, in
     each case ranking on a parity with or junior to the Series __ Preferred
     Stock with respect to the payment of dividends and the distribution of
     assets upon liquidation, dissolution or winding up, shall not be deemed to
     materially and adversely affect such rights, preferences, privileges or
     voting powers.

                                      -18-

<PAGE>

          The foregoing voting provisions shall not apply if, at or prior to the
time when the act with respect to which such vote would otherwise be required
shall be effected, all outstanding shares of Series __ Preferred Stock shall
have been redeemed or sufficient funds shall have been deposited in trust to
effect such redemption."

                                      -19-

<PAGE>

          IN WITNESS WHEREOF, the Corporation has caused this Certificate of
Designations to be signed by __________________, its ___________________, and
attested by ____________________, its _________________, whereby such
____________________ affirms, under penalties of perjury, that this Certificate
of Designations is the act and deed of the Corporation and that the facts stated
herein are true, this ____ day of ____________, ____.

                                             H.B. FULLER COMPANY

                                             By ________________________________
                                                 [Name and Office]

Attest:

_______________________________________
[Name and Office]

                                      -20-

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