0001127602-21-015135.txt : 20210504 0001127602-21-015135.hdr.sgml : 20210504 20210504144655 ACCESSION NUMBER: 0001127602-21-015135 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210501 FILED AS OF DATE: 20210504 DATE AS OF CHANGE: 20210504 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sullivan Martha N. CENTRAL INDEX KEY: 0001483896 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-07685 FILM NUMBER: 21887809 MAIL ADDRESS: STREET 1: 529 PLEASANT STREET, MS B-7 CITY: ATTLEBORO STATE: MA ZIP: 02703 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: 0102 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 2021-05-01 0000008818 Avery Dennison Corp AVY 0001483896 Sullivan Martha N. 207 GOODE AVENUE GLENDALE CA 91203 1 Common Stock 2021-05-01 4 M 0 1450 214.60 A 15868 D 2020 Director RSU Award 0 2021-05-01 4 M 0 1450 0 D 2021-05-01 2021-05-01 Common Stock 1450 0 D 2021 Director RSU Award 0 2021-05-01 4 A 0 792 0 A 2022-05-01 2022-05-01 Common Stock 792 792 D Common Stock Units - DDECP 0 1988-08-08 1988-08-08 Common Stock 11647.4613 11647.4613 I Common Stock - DDECP Each restricted stock unit represents a contingent right to receive one share of Avery Dennison Corporation common stock. /s/ Vikas Arora POA for Martha N Sullivan 2021-05-04