SEC Form 4 · accession 0001127602-17-008523
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 23, 2017
Accepted (ET)
Feb 27, 2017 · 2:09 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 | Feb 23, 2017 | M | 25,996 | $80.21 | A | 130,038 | D | |
| Common Stock | Feb 23, 2017 | F | 13,565 | $80.21 | D | 116,473 | D | |
| Common Stock | Feb 23, 2017 | M | 19,981 | $80.21 | A | 136,454 | D | |
| Common Stock | Feb 23, 2017 | F | 10,427 | $80.21 | D | 126,027 | D | |
| Common Stock | Feb 23, 2017 | M | 20,385 | $80.21 | A | 146,412 | D | |
| Common Stock | Feb 23, 2017 | F | 10,637 | $80.21 | D | 135,775 | D | |
| Common Stock | Feb 23, 2017 | M | 5,655 | $80.21 | A | 141,430 | D | |
| Common Stock | Feb 23, 2017 | F | 2,951 | $80.21 | D | 138,479 | D | |
| Common Stock | Feb 23, 2017 | M | 99,526 | $80.21 | A | 238,005 | D | |
| Common Stock | Feb 23, 2017 | F | 51,933 | $80.21 | D | 186,072 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 2013 MSU AwardF1 | $0.00 | Feb 23, 2017 | M | 25,996 | D | Feb 27, 2014 | Mar 1, 2017 | Common Stock | 25,996 | 0 | D |
| 2014 MSU AwardF2 | $0.00 | Feb 23, 2017 | M | 19,981 | D | Feb 26, 2015 | Feb 27, 2018 | Common Stock | 19,981 | 11,905 | D |
| 2015 MSU AwardF3 | $0.00 | Feb 23, 2017 | M | 20,385 | D | Feb 26, 2016 | Feb 26, 2019 | Common Stock | 20,385 | 25,444 | D |
| 2016 MSU AwardF4 | $0.00 | Feb 23, 2017 | M | 5,655 | D | Feb 25, 2017 | Feb 25, 2020 | Common Stock | 5,655 | 13,499 | D |
| 2014 PU AwardF5 | $0.00 | Feb 23, 2017 | M | 99,526 | D | Feb 27, 2017 | Feb 27, 2017 | Common Stock | 99,526 | 0 | D |
| Common Stock Units | $0.00 | holding | — | — | — | Aug 8, 1988 | Aug 8, 1988 | Common Stock | 3,255 | 3,255 | I |
Explanation of responses
- F1Shares reflect the vesting of the fourth tranche of market leveraged stock units granted in February 2013 at 200% of target based on our absolute total shareholder return during 2013-2016, plus dividend equivalents accrued during the period.
- F2Shares reflect the vesting of the third tranche of market leveraged stock units granted in February 2014 at 156% of target based on our absolute total shareholder return during 2014-2016, plus dividend equivalents accrued during the period.
- F3Shares reflect the vesting of the second tranche of market leveraged stock units granted in February 2015 at 153% of target based on our absolute total shareholder return in excess of 10% during 2015-2016, plus dividend equivalents accrued during the period.
- F4Shares reflect the vesting of the first tranche of market leveraged stock units granted in February 2016 at 123% of target based on our absolute total shareholder return in excess of 10% during 2016, plus dividend equivalents accrued during the period.
- F5Shares reflect the vesting of performance units granted in February 2014 at 200% of target, 50% based on our cumulative economic value added and 50% on our relative total shareholder return performance objectives established for the award.