SEC Form 4 · accession 0001127602-16-050417
Avery Dennison Corp · AVY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Dean A Scarborough
Officer — Executive Chairman · Director
Period of report
Apr 29, 2016
Accepted (ET)
May 2, 2016 · 3:08 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000008818
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Apr 29, 2016 | G | 14,420 | $0.00 | D | 131,066 | D | |
| Common StockF2 | Apr 29, 2016 | M | 100,000 | $67.795 | A | 231,066 | D | |
| Common StockF2,F3 | Apr 29, 2016 | S | 100,000 | $72.54 | D | 131,066 | D | |
| Common Stock | holding | — | — | — | 20 | I | By Son | |
| Common Stock | holding | — | — | — | 148 | I | Owned By Spouse | |
| Common Stock (Savings Plan) | holding | — | — | — | 41,630 | I | Savings Plan |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 2006 Employee Stock OptionF2 | $67.795 | Apr 29, 2016 | M | 100,000 | D | Dec 7, 2007 | Dec 7, 2016 | Common Stock | 100,000 | 0 | D |
| Common Stock Units | $0.00 | holding | — | — | — | Aug 8, 1988 | Aug 8, 1988 | Common Stock | 3,185 | 3,185 | I |
Explanation of responses
- F1The shares were a bona fide charitable gift to Hiram College.
- F2Transaction occurred pursuant to a Rule 10b5-1 Trading Plan established prior to trade date.
- F3This transaction was executed in multiple trades at prices ranging from $72.28 to $73.37. The price reported above reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer, or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected.