0001127602-16-050567.txt : 20160502 0001127602-16-050567.hdr.sgml : 20160502 20160502175758 ACCESSION NUMBER: 0001127602-16-050567 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160429 FILED AS OF DATE: 20160502 DATE AS OF CHANGE: 20160502 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Siewert Patrick CENTRAL INDEX KEY: 0001324047 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-07685 FILM NUMBER: 161613049 MAIL ADDRESS: STREET 1: THE COCA-COLA COMPANY STREET 2: ONE COCA-COLA PLAZA CITY: ATLANTA STATE: GA ZIP: 30313 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2016-04-29 0000008818 Avery Dennison Corp AVY 0001324047 Siewert Patrick 207 GOODE AVENUE GLENDALE CA 91203 1 Common Stock 2016-04-29 4 M 0 1015 72.82 A 18195 D Common Stock 2016-04-29 4 F 0 305 72.82 D 17890 D Common Stock 2016-04-29 4 M 0 859 72.82 A 18749 D Common Stock 2016-04-29 4 F 0 258 72.82 D 18491 D Common Stock 2016-04-29 4 M 0 746 72.82 A 19237 D Common Stock 2016-04-29 4 F 0 224 72.82 D 19013 D 2013 Director RSU Award 0 2016-04-29 4 M 0 1015 0 D 2014-05-01 2016-05-01 Common Stock 1015 0 D 2014 Director RSU Award 0 2016-04-29 4 M 0 859 0 D 2015-05-01 2017-05-01 Common Stock 859 859 D 2015 Director RSU Award 0 2016-04-29 4 M 0 746 0 D 2016-05-01 2018-05-01 Common Stock 746 1493 D 2016 Director RSU Award 0 2016-05-01 4 A 0 1922 0 A 2017-05-01 2019-05-01 Common Stock 1922 1922 D Because the vesting date of the restricted stock units fell on a weekend, they vested on April 29, 2016, the last trading day prior to the vesting date. Shares reflect the vesting of the third tranche of restricted stock units granted on May 1, 2013. Shares reflect the vesting of the second tranche of restricted stock units granted on May 1, 2014. Shares reflect the vesting of the first tranche of restricted stock units granted on May 1, 2015. Because the grant date of the restricted stock units fell on a weekend, the grant date fair market value was based on April 29, 2016, the last trading day prior to the grant date. The restricted stock units vest in three cumulative installments on the first, second and third anniversaries of the date of grant. Each restricted stock unit represents a contingent right to receive one share of Avery Dennison Corporation common stock. /s/ Erica Perry POA for Patrick Siewert 2016-05-02