Sec Form 4 Filing - Anderson Anthony @ Avery Dennison Corp - 2017-05-01

Insider filing report for Changes in Beneficial Ownership
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FORM 4
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
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Anderson Anthony
2. Issuer Name and Ticker or Trading Symbol
Avery Dennison Corp [ AVY]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director _____ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
207 GOODE AVENUE
3. Date of Earliest Transaction (MM/DD/YY)
05/01/2017
(Street)
GLENDALE, CA91203
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 05/01/2017 M 859 A $ 83.42 7,056 D
Common Stock 05/01/2017 M 746 A $ 83.42 7,802 D
Common Stock 05/01/2017 M 640 A $ 83.42 8,442 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction 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
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(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
2014 Director RSU Award $ 0 05/01/2017 M 859 ( 1 ) 05/01/2015 05/01/2017 Common Stock 859 $ 0 0 D
2015 Director RSU Award $ 0 05/01/2017 M 746 ( 2 ) 05/01/2016 05/01/2018 Common Stock 746 $ 0 747 D
2016 Director RSU Award $ 0 05/01/2017 M 640 ( 3 ) 05/01/2017 05/01/2019 Common Stock 640 $ 0 1,282 D
2017 Director RSU Award $ 0 05/01/2017 A 1,678 ( 4 ) 05/01/2018 05/01/2018 Common Stock 1,678 $ 0 1,678 D
Common Stock Units - DDECP $ 0 08/08/1988 08/08/1988 Common Stock 7,522.7888 7,522.7888 I DDECP
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Anderson Anthony
207 GOODE AVENUE
GLENDALE, CA91203
X
Signatures
/s/ Erica Perry POA for Anthony Anderson 05/03/2017
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Shares reflect the vesting of the third tranche of restricted stock units granted on May 1, 2014.
( 2 )Shares reflect the vesting of the second tranche of restricted stock units granted on May 1, 2015.
( 3 )Shares reflect the vesting of the first tranche of restricted stock units granted on May 1, 2016.
( 4 )The 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.

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).

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