SEC Form 4 · accession 0001127602-16-069765
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
Dec 8, 2016
Accepted (ET)
Dec 12, 2016 · 5:44 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 StockF1 | Dec 8, 2016 | M | 25,000 | $41.565 | A | 156,066 | D | |
| Common StockF1,F2 | Dec 8, 2016 | S | 25,000 | $73.38 | 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 |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 2010 Employee Stock OptionF1,F3 | $41.565 | Dec 8, 2016 | M | 25,000 | D | Dec 13, 2011 | Dec 13, 2020 | Common Stock | 25,000 | 96,266 | D |
| Common Stock Units | $0.00 | holding | — | — | — | Aug 8, 1988 | Aug 8, 1988 | Common Stock | 3,236 | 3,236 | I |
Explanation of responses
- 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 $74.02. 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.