SEC Form 4 · accession 0001127602-17-004163
Avery Dennison Corp · AVY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Susan C Miller
Officer — Senior VP, Gen Counsel & Secty
Period of report
Feb 3, 2017
Accepted (ET)
Feb 6, 2017 · 6:46 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 | Feb 3, 2017 | M | 52,920 | $39.32 | A | 59,438 | D | |
| Common StockF1,F2 | Feb 3, 2017 | S | 52,920 | $79.16 | D | 6,518 | D | |
| Common StockF1 | Feb 3, 2017 | M | 38,110 | $30.50 | A | 44,628 | D | |
| Common StockF1,F3 | Feb 3, 2017 | S | 38,110 | $79.17 | D | 6,518 | D | |
| Common StockF1 | Feb 3, 2017 | M | 13,035 | $52.115 | A | 19,553 | D | |
| Common StockF1,F4 | Feb 3, 2017 | S | 13,035 | $79.17 | D | 6,518 | D | |
| Common Stock | holding | — | — | — | 17,406 | I | EVDRP | |
| Common Stock (Savings Plan) | holding | — | — | — | 675 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 2011 Employee Stock OptionF1,F5 | $39.32 | Feb 3, 2017 | M | 52,920 | D | Feb 24, 2012 | Feb 24, 2021 | Common Stock | 52,920 | 0 | D |
| 2012 Employee Stock OptionF1,F5 | $30.50 | Feb 3, 2017 | M | 38,110 | D | Feb 23, 2013 | Feb 23, 2022 | Common Stock | 38,110 | 0 | D |
| 2008 Employee Stock OptionF1,F5 | $52.115 | Feb 3, 2017 | M | 13,035 | D | Feb 28, 2009 | Feb 28, 2018 | Common Stock | 13,035 | 0 | D |
Explanation of responses
- F1Transaction occurred pursuant to a Rule 10b5-1 Trading Plan established prior to the trade date.
- F2This transaction was executed in multiple trades at prices ranging from $78.79 to $79.92. 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.
- F3This transaction was executed in multiple trades at prices ranging from $78.79 to $79.86. 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.
- F4This transaction was executed in multiple trades at prices ranging from $78.79 to $79.82. 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.
- F5Stock options vest in cumulative installments of 25% on the first, second, third and fourth anniversary of the date of the grant.