Statement of Changes in Beneficial Ownership (4)
February 27 2017 - 2:11PM
Edgar (US Regulatory)
|
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
|
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
|
OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden
hours per response...
0.5
|
|
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
|
|
|
1. Name and Address of Reporting Person
*
SCARBOROUGH DEAN A
|
2. Issuer Name
and
Ticker or Trading Symbol
Avery Dennison Corp
[
AVY
]
|
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__
X
__ Director
_____ 10% Owner
__
X
__ Officer (give title below)
_____ Other (specify below)
Executive Chairman
|
|
(Last)
(First)
(Middle)
207 GOODE AVENUE
|
3. Date of Earliest Transaction
(MM/DD/YYYY)
2/23/2017
|
|
(Street)
GLENDALE, CA 91203
(City)
(State)
(Zip)
|
4. If Amendment, Date Original Filed
(MM/DD/YYYY)
|
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 Acquired, Disposed of, or Beneficially Owned
|
1.Title of Security
(Instr. 3)
|
2. Trans. Date
|
2A. Deemed Execution Date, if any
|
3. Trans. Code
(Instr. 8)
|
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
|
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
|
6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
|
7. Nature of Indirect Beneficial Ownership (Instr. 4)
|
|
Code
|
V
|
Amount
|
(A) or (D)
|
Price
|
|
Common Stock
|
2/23/2017
|
|
M
|
|
25996
|
A
|
$80.21
|
130038
|
D
|
|
|
Common Stock
|
2/23/2017
|
|
F
|
|
13565
|
D
|
$80.21
|
116473
|
D
|
|
|
Common Stock
|
2/23/2017
|
|
M
|
|
19981
|
A
|
$80.21
|
136454
|
D
|
|
|
Common Stock
|
2/23/2017
|
|
F
|
|
10427
|
D
|
$80.21
|
126027
|
D
|
|
|
Common Stock
|
2/23/2017
|
|
M
|
|
20385
|
A
|
$80.21
|
146412
|
D
|
|
|
Common Stock
|
2/23/2017
|
|
F
|
|
10637
|
D
|
$80.21
|
135775
|
D
|
|
|
Common Stock
|
2/23/2017
|
|
M
|
|
5655
|
A
|
$80.21
|
141430
|
D
|
|
|
Common Stock
|
2/23/2017
|
|
F
|
|
2951
|
D
|
$80.21
|
138479
|
D
|
|
|
Common Stock
|
2/23/2017
|
|
M
|
|
99526
|
A
|
$80.21
|
238005
|
D
|
|
|
Common Stock
|
2/23/2017
|
|
F
|
|
51933
|
D
|
$80.21
|
186072
|
D
|
|
|
Common Stock
|
|
|
|
|
|
|
|
20
|
I
|
By Son
|
|
Common Stock
|
|
|
|
|
|
|
|
148
|
I
|
Owned By Spouse
|
|
Common Stock (Savings Plan)
|
|
|
|
|
|
|
|
42317.6953
|
I
|
Savings Plan
|
Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
|
1. Title of Derivate Security
(Instr. 3)
|
2. Conversion or Exercise Price of Derivative Security
|
3. Trans. Date
|
3A. Deemed Execution Date, if any
|
4. Trans. Code
(Instr. 8)
|
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
|
6. Date Exercisable and Expiration Date
|
7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
|
8. Price of Derivative Security
(Instr. 5)
|
9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
|
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
|
11. Nature of Indirect Beneficial Ownership (Instr. 4)
|
|
Code
|
V
|
(A)
|
(D)
|
Date Exercisable
|
Expiration Date
|
Title
|
Amount or Number of Shares
|
|
2013 MSU Award
|
$0
|
2/23/2017
|
|
M
|
|
|
25996
(1)
|
2/27/2014
|
3/1/2017
|
Common Stock
|
25996
|
$0
|
0
|
D
|
|
|
2014 MSU Award
|
$0
|
2/23/2017
|
|
M
|
|
|
19981
(2)
|
2/26/2015
|
2/27/2018
|
Common Stock
|
19981
|
$0
|
11905
|
D
|
|
|
2015 MSU Award
|
$0
|
2/23/2017
|
|
M
|
|
|
20385
(3)
|
2/26/2016
|
2/26/2019
|
Common Stock
|
20385
|
$0
|
25444
|
D
|
|
|
2016 MSU Award
|
$0
|
2/23/2017
|
|
M
|
|
|
5655
(4)
|
2/25/2017
|
2/25/2020
|
Common Stock
|
5655
|
$0
|
13499
|
D
|
|
|
2014 PU Award
|
$0
|
2/23/2017
|
|
M
|
|
|
99526
(5)
|
2/27/2017
|
2/27/2017
|
Common Stock
|
99526
|
$0
|
0
|
D
|
|
|
Common Stock Units
|
$0
|
|
|
|
|
|
|
8/8/1988
|
8/8/1988
|
Common Stock
|
3254.5915
|
|
3254.5915
|
I
|
Cap Trust
|
|
Explanation of Responses:
|
|
(
1)
|
Shares reflect the vesting of the fourth tranche of market leveraged stock units granted in February 2013 at 200% of target based on our absolute total shareholder return during 2013-2016, plus dividend equivalents accrued during the period.
|
|
(
2)
|
Shares reflect the vesting of the third tranche of market leveraged stock units granted in February 2014 at 156% of target based on our absolute total shareholder return during 2014-2016, plus dividend equivalents accrued during the period.
|
|
(
3)
|
Shares reflect the vesting of the second tranche of market leveraged stock units granted in February 2015 at 153% of target based on our absolute total shareholder return in excess of 10% during 2015-2016, plus dividend equivalents accrued during the period.
|
|
(
4)
|
Shares reflect the vesting of the first tranche of market leveraged stock units granted in February 2016 at 123% of target based on our absolute total shareholder return in excess of 10% during 2016, plus dividend equivalents accrued during the period.
|
|
(
5)
|
Shares reflect the vesting of performance units granted in February 2014 at 200% of target, 50% based on our cumulative economic value added and 50% on our relative total shareholder return performance objectives established for the award.
|
Reporting Owners
|
|
Reporting Owner Name / Address
|
Relationships
|
|
Director
|
10% Owner
|
Officer
|
Other
|
SCARBOROUGH DEAN A
207 GOODE AVENUE
GLENDALE, CA 91203
|
X
|
|
Executive Chairman
|
|
Signatures
|
|
/s/ Erica Perry POA for Dean A Scarborough
|
|
2/27/2017
|
|
**
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 4(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 control number.
|
Avery Dennison (NYSE:AVY)
Historical Stock Chart
From Jun 2024 to Jul 2024
Avery Dennison (NYSE:AVY)
Historical Stock Chart
From Jul 2023 to Jul 2024
