0001127602-18-008430.txt : 20180226 0001127602-18-008430.hdr.sgml : 20180226 20180226170138 ACCESSION NUMBER: 0001127602-18-008430 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180222 FILED AS OF DATE: 20180226 DATE AS OF CHANGE: 20180226 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SCARBOROUGH DEAN A CENTRAL INDEX KEY: 0001197584 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-07685 FILM NUMBER: 18641424 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: 1231 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 2018-02-22 0000008818 Avery Dennison Corp AVY 0001197584 SCARBOROUGH DEAN A 207 GOODE AVENUE GLENDALE CA 91203 1 Common Stock 2018-02-22 4 M 0 26099 117.84 A 77026 D Common Stock 2018-02-22 4 F 0 11913 117.84 D 65113 D Common Stock 2018-02-22 4 M 0 47512 117.84 A 112625 D Common Stock 2018-02-22 4 F 0 23557 117.84 D 89068 D Common Stock 2018-02-22 4 M 0 20301 117.84 A 109369 D Common Stock 2018-02-22 4 F 0 10066 117.84 D 99303 D Common Stock 2018-02-22 4 M 0 94508 117.84 A 193811 D Common Stock 2018-02-22 4 F 0 46858 117.84 D 146953 D Common Stock 20 I By Son Common Stock 148 I Owned By Spouse Common Stock (Savings Plan) 43690.73 I Savings Plan 2014 MSU Award 0 2018-02-22 4 M 0 26099 0 D 2015-02-26 2018-02-27 Common Stock 26099 0 D 2015 MSU Award 0 2018-02-22 4 M 0 47512 0 D 2016-02-26 2019-02-26 Common Stock 47512 0 D 2016 MSU Award 0 2018-02-22 4 M 0 20301 0 D 2017-02-25 2020-02-25 Common Stock 20301 0 D 2015 PU Award 0 2018-02-22 4 M 0 94508 0 D 2018-02-26 2018-02-26 Common Stock 94508 0 D Common Stock Units 0 1988-08-08 1988-08-08 Common Stock 3315.6333 3315.6333 I Cap Trust Shares reflect the vesting of the fourth tranche of market-leveraged stock units granted in February 2014 at 200% of target based on our absolute total stockholder return during 2014-2017, plus dividend equivalents accrued during the period. Shares reflect the vesting of the third tranche of market-leveraged stock units granted in February 2015 at 200% of target based on our absolute total stockholder return in excess of 10% during 2015-2017, plus dividend equivalents accrued during the period. Shares reflect the vesting of the second tranche of market-leveraged stock units granted in February 2016 at 200% of target based on our absolute total stockholder return in excess of 10% during 2016-2017, plus dividend equivalents accrued during the period. Shares reflect the vesting of performance units granted in February 2015 at 200% of target, 50% based on our cumulative economic value added and 50% on our relative total stockholder return. /s/ Erica Perry POA for Dean A Scarborough 2018-02-26