-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, TF4/pk/y44MOWndWwnEt1mpe7WTcikIgurTPSIpQ08oyb3xS9MYZe5gAsxnWm6zI Qh5Oviy2dw3UPGo8S3E6xg== 0000008818-03-000017.txt : 20031117 0000008818-03-000017.hdr.sgml : 20031117 20031117193913 ACCESSION NUMBER: 0000008818-03-000017 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031117 FILED AS OF DATE: 20031117 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: 031009161 MAIL ADDRESS: STREET 1: 150 N. ORANGE GROVE BLVD CITY: PASADENA STATE: CA ZIP: 91103 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AVERY DENNISON CORPORATION 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: 1231 BUSINESS ADDRESS: STREET 1: 150 N ORANGE GROVE BLVD CITY: PASADENA STATE: CA ZIP: 91103 BUSINESS PHONE: 6263042000 MAIL ADDRESS: STREET 1: 150 N ORANGE GROVE BLVD CITY: PASADENA STATE: CA ZIP: 91103 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 4 1 edgardoc.xml PRIMARY DOCUMENT X0201 4 2003-11-17 0 0000008818 AVERY DENNISON CORPORATION AVY 0001197584 SCARBOROUGH DEAN A 150 N. ORANGE GROVE BLVD. PASADENA, CA 91103 1 1 0 0 President and C.O.O. Common Stock 2003-11-17 4 M 0 889 15.2813 A 13458.725 D Common Stock 2003-11-17 4 F 0 269 52.445 D 13189.725 D Common Stock 2003-11-17 4 D 0 620 52.445 D 12569.725 D Common Stock 3198.051 I SHARE Plan Common Stock 15207.034 I Savings Plan Common Stock 115.96 I by Spouse Employee Stock Option (Right to Buy) 15.2813 2003-11-17 4 M 0 889 0 D 1997-02-24 2004-02-24 Common Stock 889 0 D Represents reporting person's election to defer gain from exercise of option under the issuer's Capital Accumulation Plan ("CAP"). Reporting person surrendered the indicated option shares (including the indicated shares which were surrendered in payment of the option exercise price) in an exempt transaction under Rule 16b-3(e) and elected to defer receipt of the value thereof. Option vests nine years and nine months from the date of grant, but becomes eligible for accelerated vesting beginning three years from the date of grant, if the Company meets certain pre-established performance criteria. By: Irene S. Marquard For: Dean A. Scarborough 2003-11-17 -----END PRIVACY-ENHANCED MESSAGE-----