Specialized Disclosure Report (sd)
28 Mayo 2021 - 3:38PM
Edgar (US Regulatory)
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM SD
Specialized Disclosure Report
AVERY
DENNISON CORPORATION
(Exact name of registrant as specified in its charter)
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Delaware
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1-7685
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95-1492269
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(State or other jurisdiction of
incorporation or organization)
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(Commission
File Number)
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(IRS Employer
Identification No.)
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207 Goode Avenue, Glendale, California
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91203
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(Address of principal executive offices)
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(Zip Code)
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Vikas Arora, (626) 304-2000
(Name and telephone number, including area code, of the
person to contact in connection with this report.)
Check the appropriate box to
indicate the rule pursuant to which this form is being filed, and provide the period to which the information in this form applies:
☒
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Rule 13p-1 under the Securities Exchange Act (17 CFR 240.13p-1) for the reporting period from January 1 to December 31, 2020.
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Section 1 Conflict Minerals Disclosure
Item 1.01 Conflict Minerals Disclosure and Report
Avery Dennison Corporation (the Company) is filing this Specialized Disclosure Report (Form SD), including the Conflict Minerals
Report attached as Exhibit 1.01 hereto, for the calendar year ended December 31, 2020 to comply with Rule 13p-1 of the Securities Exchange Act of 1934, as amended. Both reports have been posted and are
publicly available on the Companys website at www.averydennison.com/conflictminerals. Information on the Companys website is not and should not be considered part of, nor is it incorporated by reference into, this Form SD.
Item 1.02 Exhibit
The
Companys Conflict Minerals Report for calendar year 2020 is filed as Exhibit 1.01 of this report and is incorporated herein by reference.
Section 2 Exhibits
1
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by
the duly authorized undersigned.
Date: May 28, 2021
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AVERY DENNISION CORPORATION
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By:
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/s/ Ignacio J. Walker
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Name:
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Ignacio J. Walker
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Title:
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Vice President and Chief Legal Officer
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2
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