0001127602-21-024436.txt : 20210827 0001127602-21-024436.hdr.sgml : 20210827 20210827171151 ACCESSION NUMBER: 0001127602-21-024436 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210825 FILED AS OF DATE: 20210827 DATE AS OF CHANGE: 20210827 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Butier Mitchell R CENTRAL INDEX KEY: 0001392133 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-07685 FILM NUMBER: 211220047 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: 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 2021-08-25 0000008818 Avery Dennison Corp AVY 0001392133 Butier Mitchell R 207 GOODE AVENUE GLENDALE CA 91203 1 1 Chairman, President and CEO Common Stock 2021-08-25 5 G 0 E 1900 D 239031 D Common Stock (Savings Plan) 3977.9572 I Savings Plan The shares were a bona fide charitable gift to Loyola Marymount University. /s/ Vikas Arora POA for Mitchell R Butier 2021-08-27