0001127602-16-068815.txt : 20161201
0001127602-16-068815.hdr.sgml : 20161201
20161201160711
ACCESSION NUMBER: 0001127602-16-068815
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161129
FILED AS OF DATE: 20161201
DATE AS OF CHANGE: 20161201
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Avery Dennison Corp
CENTRAL INDEX KEY: 0000008818
STANDARD INDUSTRIAL CLASSIFICATION: CONVERTED PAPER & PAPERBOARD PRODS (NO CONTAINERS/BOXES) [2670]
IRS NUMBER: 951492269
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1228
BUSINESS ADDRESS:
STREET 1: 207 GOODE AVENUE
CITY: GLENDALE
STATE: CA
ZIP: 91203
BUSINESS PHONE: 626.304.2000
MAIL ADDRESS:
STREET 1: 207 GOODE AVENUE
CITY: GLENDALE
STATE: CA
ZIP: 91203
FORMER COMPANY:
FORMER CONFORMED NAME: AVERY DENNISON CORPORATION
DATE OF NAME CHANGE: 19920703
FORMER COMPANY:
FORMER CONFORMED NAME: AVERY INTERNATIONAL CORP
DATE OF NAME CHANGE: 19901030
FORMER COMPANY:
FORMER CONFORMED NAME: AVERY PRODUCTS CORP
DATE OF NAME CHANGE: 19760518
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SCARBOROUGH DEAN A
CENTRAL INDEX KEY: 0001197584
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-07685
FILM NUMBER: 162028412
MAIL ADDRESS:
STREET 1: 150 N. ORANGE GROVE BLVD
CITY: PASADENA
STATE: CA
ZIP: 91103
4
1
form4.xml
PRIMARY DOCUMENT
X0306
4
2016-11-29
0000008818
Avery Dennison Corp
AVY
0001197584
SCARBOROUGH DEAN A
207 GOODE AVENUE
GLENDALE
CA
91203
1
1
Executive Chairman
Common Stock
2016-11-29
4
M
0
25000
41.565
A
156066
D
Common Stock
2016-11-29
4
S
0
25000
73.00
D
131066
D
Common Stock
2016-11-30
4
M
0
3734
41.565
A
134800
D
Common Stock
2016-11-30
4
S
0
3734
73.00
D
131066
D
Common Stock
20
I
By Son
Common Stock
148
I
Owned By Spouse
Common Stock (Savings Plan)
42042.7718
I
Savings Plan
2010 Employee Stock Option
41.565
2016-11-29
4
M
0
25000
0
D
2011-12-13
2020-12-13
Common Stock
25000
175000
D
2010 Employee Stock Option
41.565
2016-11-30
4
M
0
3734
0
D
2011-12-13
2020-12-13
Common Stock
3734
171266
D
Common Stock Units
0
1988-08-08
1988-08-08
Common Stock
3236.0552
3236.0552
I
Cap Trust
Transaction occurred pursuant to a Rule 10b5-1 Trading Plan established prior to trade date.
Option is exercisable in cumulative installments of 25% on the first, second, third and fourth anniversary of the date of grant.
/s/ Erica Perry POA for Dean A Scarborough
2016-11-30