0001127602-19-009670.txt : 20190304 0001127602-19-009670.hdr.sgml : 20190304 20190304182643 ACCESSION NUMBER: 0001127602-19-009670 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190228 FILED AS OF DATE: 20190304 DATE AS OF CHANGE: 20190304 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GRAVANIS GEORGES CENTRAL INDEX KEY: 0001640508 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-07685 FILM NUMBER: 19655757 MAIL ADDRESS: STREET 1: 207 GOODE AVENUE CITY: GLENDALE STATE: CA ZIP: 91203 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 2019-02-28 0000008818 Avery Dennison Corp AVY 0001640508 GRAVANIS GEORGES 207 GOODE AVE. GLENDALE CA 91203 1 President, LGM Common Stock 2019-02-28 4 M 0 3789 107.29 A 15675 D Common Stock 2019-02-28 4 F 0 894 107.92 D 14781 D Common Stock 2019-02-28 4 M 0 3080 107.92 A 17861 D Common Stock 2019-02-28 4 F 0 981 107.92 D 16880 D Common Stock 2019-02-28 4 M 0 1899 107.92 A 18779 D Common Stock 2019-02-28 4 F 0 688 107.92 D 18091 D Common Stock 2019-02-28 4 M 0 14390 107.92 A 32481 D Common Stock 2019-02-28 4 F 0 4583 107.92 D 27898 D 2015 MSU Award 0 2019-02-28 4 M 0 3789 0 D 2016-02-26 2019-02-28 Common Stock 3789 0 D 2016 MSU Award 0 2019-02-28 4 M 0 3080 0 D 2017-02-25 2020-02-25 Common Stock 3080 1543 D 2017 MSU Award 0 2019-02-28 4 M 0 1899 0 D 2018-02-23 2021-02-23 Common Stock 1899 2669 D 2018 MSU Award 0 2019-02-28 4 M 0 0 0 D 2019-02-22 2022-02-22 Common Stock 0 3604 D 2016 PU Award 0 2019-02-28 4 M 0 14390 0 D 2019-02-25 2019-02-25 Common Stock 14390 0 D 2019 MSU Award 0 2019-02-28 4 A 0 4160 0 A 2020-02-28 2023-02-28 Common Stock 4160 4160 D 2019 PU Award 0 2019-02-28 4 A 0 5254 0 A 2022-02-28 2022-02-28 Common Stock 5254 5254 D Shares reflect the vesting of the fourth tranche of market-leveraged stock units granted in February 2015 at 200% of target based on our absolute total stockholder return in excess of 10% during the 2015-2018 performance period, plus dividend equivalents accrued during the period. Shares reflect the vesting of the third tranche of market-leveraged stock units granted in February 2016 at 188% of target based on our absolute total stockholder return in excess of 10% during the 2016-2018 performance period, plus dividend equivalents accrued during the period. Shares reflect the vesting of the second tranche of market-leveraged stock units granted in February 2017 at 137% of target based on our absolute total stockholder return in excess of 10% during the 2017-2018 performance period, plus dividend equivalents accrued during the period. The first tranche of market-leveraged stock units granted in February 2018 were cancelled since the threshold level of performance was not achieved based on our absolute total stockholder return during the 2018 performance period. Shares reflect the vesting of performance units granted in February 2016 at 200% of target, 75% based on LGM's cumulative economic value added and 25% on our relative total stockholder return. Market-leveraged stock units vest 25% over one-, two-, three- and four-year performance periods, with the number of shares paid on each vesting date based on the percentage change in the Company's stock price, plus dividend equivalents accrued during the vesting period. Each market-leveraged stock unit represents a contingent right to receive one share of Avery Dennison Corporation common stock, plus dividend equivalents. Performance units vest, if at all, at the end of fiscal year 2021, provided certain performance objectives are met as determined by the Compensation Committee in February 2022. Each performance unit represents a contingent right to receive one share of Avery Dennison Corporation common stock. /s/ Vikas Arora POA for Georges Gravanis 2019-03-04