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