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