0001127602-17-016579.txt : 20170503 0001127602-17-016579.hdr.sgml : 20170503 20170503151011 ACCESSION NUMBER: 0001127602-17-016579 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170501 FILED AS OF DATE: 20170503 DATE AS OF CHANGE: 20170503 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: 1231 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: Siewert Patrick CENTRAL INDEX KEY: 0001324047 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-07685 FILM NUMBER: 17808820 MAIL ADDRESS: STREET 1: THE COCA-COLA COMPANY STREET 2: ONE COCA-COLA PLAZA CITY: ATLANTA STATE: GA ZIP: 30313 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2017-05-01 0000008818 Avery Dennison Corp AVY 0001324047 Siewert Patrick 207 GOODE AVENUE GLENDALE CA 91203 1 Common Stock 2017-05-01 4 M 0 859 83.42 A 19872 D Common Stock 2017-05-01 4 F 0 323 83.42 D 19549 D Common Stock 2017-05-01 4 M 0 746 83.42 A 20295 D Common Stock 2017-05-01 4 F 0 224 83.42 D 20071 D Common Stock 2017-05-01 4 M 0 640 83.42 A 20711 D Common Stock 2017-05-01 4 F 0 192 83.42 D 20519 D 2014 Director RSU Award 0 2017-05-01 4 M 0 859 0 D 2015-05-01 2017-05-01 Common Stock 859 0 D 2015 Director RSU Award 0 2017-05-01 4 M 0 746 0 D 2016-05-01 2018-05-01 Common Stock 746 747 D 2016 Director RSU Award 0 2017-05-01 4 M 0 640 0 D 2017-05-01 2019-05-01 Common Stock 640 1282 D 2017 Director RSU Award 0 2017-05-01 4 A 0 1678 0 A 2018-05-01 2018-05-01 Common Stock 1678 1678 D Shares reflect the vesting of the third tranche of restricted stock units granted on May 1, 2014. Shares reflect the vesting of the second tranche of restricted stock units granted on May 1, 2015. Shares reflect the vesting of the first tranche of restricted stock units granted on May 1, 2016. The restricted stock units vest on the first anniversary of the grant date. Each restricted stock unit represents a contingent right to receive one share of Avery Dennison Corporation common stock. /s/ Erica Perry POA for Patrick Siewert 2017-05-03