SEC Form 4 · accession 0001127602-18-016072
Avery Dennison Corp · AVY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Patrick Siewert
Director
Period of report
May 1, 2018
Accepted (ET)
May 2, 2018 · 6:17 pm EDT
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 | May 1, 2018 | M | 747 | $104.80 | A | 11,266 | D | |
| Common Stock | May 1, 2018 | F | 225 | $104.80 | D | 11,041 | D | |
| Common Stock | May 1, 2018 | M | 641 | $104.80 | A | 11,682 | D | |
| Common Stock | May 1, 2018 | F | 193 | $104.80 | D | 11,489 | D | |
| Common Stock | May 1, 2018 | M | 1,678 | $104.80 | A | 13,167 | D | |
| Common Stock | May 1, 2018 | F | 504 | $104.80 | D | 12,663 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 2015 Director RSU AwardF1 | $0.00 | May 1, 2018 | M | 747 | D | May 1, 2016 | May 1, 2018 | Common Stock | 747 | 0 | D |
| 2016 Director RSU AwardF2 | $0.00 | May 1, 2018 | M | 641 | D | May 1, 2017 | May 1, 2019 | Common Stock | 641 | 641 | D |
| 2017 Director RSU Award | $0.00 | May 1, 2018 | M | 1,678 | D | May 1, 2018 | May 1, 2018 | Common Stock | 1,678 | 0 | D |
| 2018 Director RSU AwardF3 | $0.00 | May 1, 2018 | A | 1,336 | A | May 1, 2019 | May 1, 2019 | Common Stock | 1,336 | 1,336 | D |
Explanation of responses
- F1Shares reflect the vesting of the third tranche of restricted stock units granted on May 1, 2015.
- F2Shares reflect the vesting of the second tranche of restricted stock units granted on May 1, 2016.
- F3The restricted stock units vest on the first anniversary of the grant date. Each restricted stock unit represents a contingent right to receive one share of Avery Dennison Corporation common stock.