Statement of Changes in Beneficial Ownership (4)
02 Marzo 2021 - 5:34PM
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
Estimated average burden
hours per response...
0.5
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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
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STANDER DEON |
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/General Manager, RBIS |
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(Last)
(First)
(Middle)
207 GOODE AVE. |
3. Date of Earliest Transaction
(MM/DD/YYYY)
2/27/2021 |
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(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 | 2/27/2021 | | M | | 1266 | A | $177.45 | 27006 | D | |
| Common Stock | 2/27/2021 | | F | | 571 | D | $177.45 | 26435 | D | |
| Common Stock | 2/27/2021 | | M | | 1447 | A | $177.45 | 27882 | D | |
| Common Stock | 2/27/2021 | | F | | 642 | D | $177.45 | 27240 | D | |
| Common Stock | 2/27/2021 | | M | | 1827 | A | $177.45 | 29067 | D | |
| Common Stock | 2/27/2021 | | F | | 811 | D | $177.45 | 28256 | D | |
| Common Stock | 2/27/2021 | | M | | 1242 | A | $177.45 | 29498 | D | |
| Common Stock | 2/27/2021 | | F | | 551 | D | $177.45 | 28947 | D | |
| Common Stock | 2/27/2021 | | M | | 4809 | A | $177.45 | 33756 | D | |
| Common Stock | 2/27/2021 | | F | | 2133 | D | $177.45 | 31623 | D | |
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 |
| 2017 MSU Award | $0 | 2/27/2021 | | M | | | 1266 (1) | 2/23/2018 | 2/27/2021 | Common Stock | 1266 | $0 | 0 | D | |
| 2018 MSU Award | $0 | 2/27/2021 | | M | | | 1447 (2) | 2/22/2019 | 2/22/2022 | Common Stock | 1447 | $0 | 935 | D | |
| 2019 MSU Award | $0 | 2/27/2021 | | M | | | 1827 (3) | 2/28/2020 | 2/28/2023 | Common Stock | 1827 | $0 | 1786 | D | |
| 2020 MSU Award | $0 | 2/27/2021 | | M | | | 1242 (4) | 2/27/2021 | 2/27/2024 | Common Stock | 1242 | $0 | 3048 | D | |
| 2018 PU Award | $0 | 2/27/2021 | | M | | | 4809 (5) | 2/22/2021 | 2/27/2021 | Common Stock | 4809 | $0 | 0 | D | |
| 2021 MSU Award | $0 | 3/1/2021 | | A | | 2312 (6) | | 3/1/2022 | 3/1/2025 | Common Stock | 2312 | $0 | 2312 | D | |
| 2021 PU Award | $0 | 3/1/2021 | | A | | 2750 (7) | | 3/1/2024 | 3/1/2024 | Common Stock | 2750 | $0 | 2750 | D | |
| 2021 Special PU Award | $0 | 3/1/2021 | | A | | 2547 (8) | | 3/1/2024 | 3/1/2024 | Common Stock | 2547 | $0 | 2547 | D | |
| Explanation of Responses: |
| (1) | Shares reflect the vesting of the fourth tranche of market-leveraged stock units granted in February 2017 at 200% of target based on our absolute total stockholder return in excess of 10% during the 2017-2020 performance period, plus dividend equivalents accrued during the period. |
| (2) | Shares reflect the vesting of the third tranche of market-leveraged stock units granted in February 2018 at 146% of target based on our absolute total stockholder return in excess of 10% during the 2018-2020 performance period, plus dividend equivalents accrued during the period. |
| (3) | Shares reflect the vesting of the second tranche of market-leveraged stock units granted in February 2019 at 197% of target based on our absolute total stockholder return in excess of 10% during the 2019-2020 performance period, plus dividend equivalents accrued during the period. |
| (4) | Shares reflect the vesting of the first tranche of market-leveraged stock units granted in February 2020 at 120% of target based on our absolute total stockholder return in excess of 10% during the 2020 performance period, plus dividend equivalents accrued during the period. |
| (5) | Shares reflect the vesting of performance units granted in February 2018 at 126% of target, 100% on RBIS's cumulative economic value added, as adjusted by the Compensation Committee in February 2021. |
| (6) | 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 our 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. |
| (7) | Performance units vest, if at all, at the end of fiscal year 2023, provided the designated performance objectives are met as determined by the Compensation Committee in February 2024. Each performance unit represents a contingent right to receive one share of Avery Dennison Corporation common stock. |
| (8) | Performance units vest, if at all, at the end of fiscal year 2023, provided the designated performance objectives are met as determined by the Compensation Committee in February 2024. 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 |
STANDER DEON
207 GOODE AVE.
GLENDALE, CA 91203 |
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| VP/General Manager, RBIS |
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Signatures
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| /s/ Vikas Arora POA for Deon Stander | | 3/2/2021 |
| **Signature of Reporting Person | Date |
Avery Dennison (NYSE:AVY)
Gráfica de Acción Histórica
De Mar 2024 a Abr 2024
Avery Dennison (NYSE:AVY)
Gráfica de Acción Histórica
De Abr 2023 a Abr 2024
