SEC Form 4 · accession 0001127602-17-006964
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
Feb 15, 2017
Accepted (ET)
Feb 17, 2017 · 4:47 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 15, 2017 | M | 25,000 | $39.32 | A | 136,537 | D | |
| Common StockF1,F2 | Feb 15, 2017 | S | 25,000 | $79.56 | D | 111,537 | D | |
| Common StockF3 | Feb 15, 2017 | G | 7,495 | $0.00 | D | 104,042 | D | |
| Common StockF1 | Feb 16, 2017 | M | 25,000 | $39.32 | A | 129,042 | D | |
| Common StockF1,F4 | Feb 16, 2017 | S | 25,000 | $80.12 | D | 104,042 | D | |
| Common Stock | holding | — | — | — | 20 | I | By Son | |
| Common Stock | holding | — | — | — | 148 | I | Owned By Spouse | |
| Common Stock (Savings Plan) | holding | — | — | — | 42,318 | 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 15, 2017 | M | 25,000 | D | Feb 24, 2012 | Feb 24, 2021 | Common Stock | 25,000 | 50,000 | D |
| 2011 Employee Stock OptionF1 | $39.32 | Feb 16, 2017 | M | 25,000 | D | Feb 24, 2012 | Feb 24, 2021 | Common Stock | 25,000 | 25,000 | D |
| Common Stock Units | $0.00 | holding | — | — | — | Aug 8, 1988 | Aug 8, 1988 | Common Stock | 3,255 | 3,255 | 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 $79.11 to $79.83. 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.
- F3The shares were a bona fide charitable gift to Hiram College.
- F4This transaction was executed in multiple trades at prices ranging from $79.78 to $80.42. 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.
- F5Options are exercisable in cumulative installments of 25% on the first, second, third and fourth anniversary of the date of the grant.