0001127602-19-003965.txt : 20190205 0001127602-19-003965.hdr.sgml : 20190205 20190205123006 ACCESSION NUMBER: 0001127602-19-003965 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190201 FILED AS OF DATE: 20190205 DATE AS OF CHANGE: 20190205 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lopez Andres Alberto CENTRAL INDEX KEY: 0001568244 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-07685 FILM NUMBER: 19566974 MAIL ADDRESS: STREET 1: ONE MICHAEL OWENS WAY CITY: PERRYSBURG STATE: OH ZIP: 43551 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: 1229 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 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2019-02-01 0000008818 Avery Dennison Corp AVY 0001568244 Lopez Andres Alberto 207 GOODE AVENUE GLENDALE CA 91203 1 Common Stock 2019-02-01 4 M 0 148 104.95 A 1974 D 2017 Director RSU Award 0 2019-02-01 4 M 0 148 0 D 2018-02-01 2020-02-01 Common Stock 148 149 D Common Stock Units - DDECP 0 1988-08-08 1988-08-08 Common Stock 591.9021 591.9021 I DDECP The restricted stock units vest in three cumulative installments of one-third on the first, second and third anniversaries of the grant date. Each restricted stock unit represents a contingent right to receive one share of Avery Dennison Corporation common stock. /s/ Vikas Arora, POA for Andres Alberto Lopez 2019-02-05