0001127602-19-021674.txt : 20190614 0001127602-19-021674.hdr.sgml : 20190614 20190614174530 ACCESSION NUMBER: 0001127602-19-021674 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190613 FILED AS OF DATE: 20190614 DATE AS OF CHANGE: 20190614 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bondar Lori J CENTRAL INDEX KEY: 0001492802 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-07685 FILM NUMBER: 19899960 MAIL ADDRESS: STREET 1: 150 N ORANGE GROVE BLVD CITY: PASADENA STATE: CA ZIP: 91103 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: 1228 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 2019-06-13 0000008818 Avery Dennison Corp AVY 0001492802 Bondar Lori J 207 GOODE AVENUE GLENDALE CA 91203 1 VP, Controller and CAO Common Stock 2019-06-13 4 M 0 5000 30.50 A 22428 D Common Stock 2019-06-13 4 S 0 5000 111.50 D 17428 D By Spouse 2000 I By Spouse Common Stock (Savings Plan) 1782.7353 I Savings Plan 2012 Employee Stock Option 30.50 2019-06-13 4 M 0 5000 0 D 2013-02-23 2022-02-23 Common Stock 5000 6813 D Options are exercisable in four cumulative installments of 25% each year beginning on the first anniversary date of the grant. /s/ Vikas Arora POA for Lori J Bondar 2019-06-14