SEC Form 4 · accession 0001127602-16-069474

Avery Dennison Corp · AVY

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Officer — Executive Chairman · Director

Period of report

Dec 6, 2016

Accepted (ET)

Dec 8, 2016 · 12:17 pm EST

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 Stock^F1	Dec 6, 2016	M	25,000	$41.565	A	156,066	D
Common Stock^F1	Dec 6, 2016	S	25,000	$73.00	D	131,066	D
Common Stock^F1	Dec 7, 2016	M	25,000	$41.565	A	156,066	D
Common Stock^F1,F2	Dec 7, 2016	S	25,000	$73.28	D	131,066	D
Common Stock	holding	—	—		—	20	I	By Son
Common Stock	holding	—	—		—	148	I	Owned By Spouse
Common Stock (Savings Plan)	holding	—	—		—	42,043	I	Savings Plan

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
2010 Employee Stock Option^F1,F3	$41.565	Dec 6, 2016	M	25,000	D	Dec 13, 2011	Dec 13, 2020	Common Stock	25,000	146,266	D
2010 Employee Stock Option^F1,F3	$41.565	Dec 7, 2016	M	25,000	D	Dec 13, 2011	Dec 13, 2020	Common Stock	25,000	121,266	D
Common Stock Units	$0.00	holding	—	—	—	Aug 8, 1988	Aug 8, 1988	Common Stock	3,236	3,236	I

F1Transaction occurred pursuant to a Rule 10b5-1 Trading Plan established prior to trade date.
F2This transaction was executed in multiple trades at prices ranging from $73.00 to $74.00. 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.
F3Option is exercisable in cumulative installments of 25% on the first, second, third and fourth anniversary of the date of grant.