SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
RODRIGUEZ KARYN E

(Last) (First) (Middle)
150 NORTH ORANGE GROVE BLVD

(Street)
PASADENA CA 91103

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
AVERY DENNISON CORPORATION [ AVY ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Vice President and Treasurer
3. Date of Earliest Transaction (Month/Day/Year)
02/24/2011
4. If Amendment, Date of Original Filed (Month/Day/Year)
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. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction 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
Savings Plan 2,466.9975 I Savings Plan
Common Stock 02/24/2011 M 132 A $39.32 1,413 D
Common Stock 02/24/2011 M 98 A $39.32 1,511 D
Common Stock 02/24/2011 M 736 A $39.32 2,247 D
Common Stock 02/24/2011 M 694 A $39.32 2,941 D
Common Stock 02/24/2011 F 610 D $39.32 2,331 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction 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 (Month/Day/Year) 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: 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
2011 Stock Option $39.32 02/24/2011 A 7,387 02/24/2012(1) 02/24/2021 Common Stock 7,387 $0 7,387 D
2011 RSU Award $0 02/24/2011 A 1,853 01/15/2012(2) 01/15/2015 Common Stock 1,853 $0 1,853 D
2011 PSU Award $0 02/24/2011 A 2,471 02/27/2014(3) 02/27/2014 Common Stock 2,471 $0 2,471 D
2005 DER $39.32(4) 02/24/2011 M 132 02/24/2011 04/28/2011 Common Stock 132 $0 0 D
2006 DER $39.32(5) 02/24/2011 M 98 02/24/2011 04/28/2011 Common Stock 98 $0 0 D
2005 RSU award $39.32(6) 02/24/2011 M 736 02/24/2011 04/28/2011 Common Stock 736 $0 0 D
2006 RSU award $39.32(7) 02/24/2011 M 694 02/24/2011 04/28/2011 Common Stock 694 $0 0 D
Explanation of Responses:
1. Options are exercisable in cumulative installments of 25% on the first, second, third and fourth anniversary of the date of the grant.
2. The restricted stock units vest in four cumulative installments of 25% each year beginning on January 15, 2012.
3. Performance units vest, if at all, on February 27, 2014, provided certain Company performance objectives are met. Each performance unit represents a contingent right to receive one share of Avery Dennison Corporation common stock.
4. Settlement of dividend equivalent rights in connection with vesting of restricted stock units. The rights accrued when and as dividends were paid on the common stock. Each dividend right represents the right to receive one share of common stock.
5. Settlement of dividend equivalent rights in connection with vesting of restricted stock units. The rights accrued when and as dividends were paid on the common stock. Each dividend right represents the right to receive one share of common stock.
6. Each restricted stock unit represents a contingent right to receive one share of Avery Dennison Corporation common stock.
7. Each restricted stock unit represents a contingent right to receive one share of Avery Dennison Corporation common stock.
/s/ Barbara Bartoletti POA for Karyn E. Rodriguez 02/28/2011
** 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.
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