SEC Form 4 · accession 0001127602-18-008430
Avery Dennison Corp · AVY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Dean A Scarborough
Director
Period of report
Feb 22, 2018
Accepted (ET)
Feb 26, 2018 · 5:01 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 22, 2018 | M | 26,099 | $117.84 | A | 77,026 | D | |
| Common Stock | Feb 22, 2018 | F | 11,913 | $117.84 | D | 65,113 | D | |
| Common Stock | Feb 22, 2018 | M | 47,512 | $117.84 | A | 112,625 | D | |
| Common Stock | Feb 22, 2018 | F | 23,557 | $117.84 | D | 89,068 | D | |
| Common Stock | Feb 22, 2018 | M | 20,301 | $117.84 | A | 109,369 | D | |
| Common Stock | Feb 22, 2018 | F | 10,066 | $117.84 | D | 99,303 | D | |
| Common Stock | Feb 22, 2018 | M | 94,508 | $117.84 | A | 193,811 | D | |
| Common Stock | Feb 22, 2018 | F | 46,858 | $117.84 | D | 146,953 | D | |
| Common Stock | holding | — | — | — | 20 | I | By Son | |
| Common Stock | holding | — | — | — | 148 | I | Owned By Spouse | |
| Common Stock (Savings Plan) | holding | — | — | — | 43,691 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 2014 MSU AwardF1 | $0.00 | Feb 22, 2018 | M | 26,099 | D | Feb 26, 2015 | Feb 27, 2018 | Common Stock | 26,099 | 0 | D |
| 2015 MSU AwardF2 | $0.00 | Feb 22, 2018 | M | 47,512 | D | Feb 26, 2016 | Feb 26, 2019 | Common Stock | 47,512 | 0 | D |
| 2016 MSU AwardF3 | $0.00 | Feb 22, 2018 | M | 20,301 | D | Feb 25, 2017 | Feb 25, 2020 | Common Stock | 20,301 | 0 | D |
| 2015 PU AwardF4 | $0.00 | Feb 22, 2018 | M | 94,508 | D | Feb 26, 2018 | Feb 26, 2018 | Common Stock | 94,508 | 0 | D |
| Common Stock Units | $0.00 | holding | — | — | — | Aug 8, 1988 | Aug 8, 1988 | Common Stock | 3,316 | 3,316 | I |
Explanation of responses
- F1Shares reflect the vesting of the fourth tranche of market-leveraged stock units granted in February 2014 at 200% of target based on our absolute total stockholder return during 2014-2017, plus dividend equivalents accrued during the period.
- F2Shares reflect the vesting of the third tranche of market-leveraged stock units granted in February 2015 at 200% of target based on our absolute total stockholder return in excess of 10% during 2015-2017, plus dividend equivalents accrued during the period.
- F3Shares reflect the vesting of the second tranche of market-leveraged stock units granted in February 2016 at 200% of target based on our absolute total stockholder return in excess of 10% during 2016-2017, plus dividend equivalents accrued during the period.
- F4Shares reflect the vesting of performance units granted in February 2015 at 200% of target, 50% based on our cumulative economic value added and 50% on our relative total stockholder return.