Statement of Changes in Beneficial Ownership (4)
03 Diciembre 2020 - 3:20PM
Edgar (US Regulatory)
FORM 4
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0287
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
Baker-Nel Deena |
2. Issuer Name and Ticker or Trading Symbol
Avery Dennison Corp
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AVY
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) VP & Chief HR Officer |
(Last)
(First)
(Middle)
207 GOODE AVE |
3. Date of Earliest Transaction
(MM/DD/YYYY)
12/1/2020 |
(Street)
GLENDALE, CA 91203
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock | 12/1/2020 | | M | | 750 | A | $150.86 | 3579 | D | |
Common Stock | 12/1/2020 | | F | | 260 | D | $150.86 | 3319 | D | |
Common Stock (Savings Plan) | | | | | | | | 1119.8869 | I | Savings Plan |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
2016 RSU Award | $0 | 12/1/2020 | | M | | | 750 | 12/1/2020 (1) | 12/1/2020 | Common Stock | 750 | $0 | 0 | D | |
2017 MSU Award | $0 | | | | | | | 2/23/2018 (2) | 2/23/2021 | Common Stock | 190 | | 190 | D | |
2018 MSU Award | $0 | | | | | | | 2/22/2019 (2) | 2/22/2022 | Common Stock | 607 | | 607 | D | |
2018 PU Award | $0 | | | | | | | 2/22/2021 (3) | 2/22/2021 | Common Stock | 1239 | | 1239 | D | |
2019 MSU Award | $0 | | | | | | | 2/28/2020 (2) | 2/28/2023 | Common Stock | 991 | | 991 | D | |
2019 PU Award | $0 | | | | | | | 2/28/2022 (4) | 2/28/2022 | Common Stock | 1670 | | 1670 | D | |
2020 MSU Award | $0 | | | | | | | 2/27/2021 (2) | 2/27/2024 | Common Stock | 1641 | | 1641 | D | |
2020 PU Award | $0 | | | | | | | 2/27/2023 (5) | 2/27/2023 | Common Stock | 1432 | | 1432 | D | |
Explanation of Responses: |
(1) | Restricted stock units vest in equal installments on the first, second, third and fourth anniversaries of the grant date. Each restricted stock unit represents a contingent right to receive one share of Avery Dennison Corporation common stock. |
(2) | Market-leveraged stock units vest 25% over one-, two-, three- and four-year performance periods, with the number of shares paid on each vesting date based on the Company's absolute total stockholder return, plus dividend equivalents accrued during the vesting period. Each market-leveraged stock unit represents a contingent right to receive one share of Avery Dennison Corporation common stock, plus dividend equivalents. |
(3) | Performance units vest, if at all, at the end of fiscal year 2020, provided certain performance objectives are met as determined by the Compensation Committee in February 2021. Each performance unit represents a contingent right to receive one share of Avery Dennison Corporation common stock. |
(4) | Performance units vest, if at all, at the end of fiscal year 2021, provided certain performance objectives are met as determined by the Compensation Committee in February 2022. Each performance unit represents a contingent right to receive one share of Avery Dennison Corporation common stock. |
(5) | Performance units vest, if at all, at the end of fiscal year 2022, provided certain performance objectives are met as determined by the Compensation Committee in February 2023. Each performance unit represents a contingent right to receive one share of Avery Dennison Corporation common stock. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Baker-Nel Deena 207 GOODE AVE GLENDALE, CA 91203 |
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| VP & Chief HR Officer |
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Signatures
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/s/ Maribel Cabrera POA for Deena Baker-Nel | | 12/3/2020 |
**Signature of Reporting Person | Date |
Avery Dennison (NYSE:AVY)
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