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Sec Form 4 Filing - Butier Mitchell R @ Avery Dennison Corp - 2017-10-31

  1. About Form 4 Filing: Every director, officer or owner of more than ten percent of a class of equity securities registered under Section 12 of the '34 Act must file with the U.S. Securities and Exchange Commission (SEC) a statement of ownership regarding such security. The initial filing is on Form 3 and changes are reported on Form 4. The Annual Statement of beneficial ownership of securities is on Form 5. The forms contain information on the reporting person's relationship to the company and on purchases and sales of such equity securities.
  2. Form 4 is stored in SEC's EDGAR database. EDGAR is Electronic Data Gathering, Analysis and Retrieval System. It is a registered trademark of the SEC.

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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 *
Butier Mitchell R
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
X __ Officer (give title below) _____ Other (specify below)
President and CEO
(Last)
(First)
(Middle)
207 GOODE AVENUE
3. Date of Earliest Transaction (MM/DD/YY)
10/31/2017
(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 10/31/2017( 1 ) M 20,580 A $ 52.115 130,673 D
Common Stock 10/31/2017( 1 ) S 20,580 D $ 105.87 ( 2 ) 110,093 D
Common Stock 10/31/2017( 1 ) M 15,000 A $ 49.44 125,093 D
Common Stock 10/31/2017( 1 ) S 15,000 D $ 105.78 ( 3 ) 110,093 D
Common Stock 10/31/2017( 1 ) M 4,420 A $ 31.665 114,513 D
Common Stock 10/31/2017( 1 ) S 4,420 D $ 105.48 ( 4 ) 110,093 D
Common Stock 11/01/2017 G V 250 D $ 0 ( 5 ) 109,843 D
Common Stock 11/01/2017 G V 250 D $ 0 ( 6 ) 109,593 D
Common Stock 11/01/2017( 1 ) M 9,551 A $ 31.665 119,144 D
Common Stock 11/01/2017( 1 ) S 9,551 D $ 106.85 ( 7 ) 109,593 D
Common Stock 11/01/2017( 1 ) M 28,000 A $ 33.61 137,593 D
Common Stock 11/01/2017( 1 ) S 28,000 D $ 106.86 ( 8 ) 109,593 D
Common Stock (Savings Plan) 3,734.8463 I Savings Plan
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
2008 Employee Stock Option $ 52.115 10/31/2017( 1 ) M 20,580 02/28/2009( 9 ) 02/28/2018 Common Stock 20,580 $ 0 0 D
2008 Butier Stock Option $ 49.44 10/31/2017( 1 ) M 15,000 09/02/2009( 9 ) 09/02/2018 Common Stock 15,000 $ 0 0 D
2010 Employee Stock Option $ 31.665 10/31/2017( 1 ) M 4,420 02/26/2011( 9 ) 02/26/2020 Common Stock 4,420 $ 0 9,551 D
2010 Employee Stock Option $ 31.665 11/01/2017( 1 ) M 9,551 02/26/2011( 9 ) 02/26/2020 Common Stock 9,551 $ 0 0 D
2010 Butier Stock Option $ 33.61 11/01/2017( 1 ) M 28,000 06/01/2011( 9 ) 06/01/2020 Common Stock 28,000 $ 0 0 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Butier Mitchell R
207 GOODE AVENUE
GLENDALE, CA91203
X President and CEO
Signatures
/s/ Erica Perry POA for Mitchell R Butier 11/02/2017
** Signature of Reporting Person Date
Explanation of Responses:
( 1 )Transaction occurred pursuant to a Rule 10b5-1 Trading Plan established prior to the trade date.
( 2 )This transaction was executed in multiple trades at prices ranging from $105.68 to $105.93. The price reported above reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer, or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected.
( 3 )This transaction was executed in multiple trades at prices ranging from $105.60 to $105.96. The price reported above reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer, or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected.
( 4 )This transaction was executed in multiple trades at prices ranging from $105.10 to $105.82. The price reported above reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer, or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected.
( 5 )The shares were a bona fide charitable gift to Loyola Marymount University.
( 6 )The shares were a bona fide charitable gift to La Canada Flintridge Educational Foundation.
( 7 )This transaction was executed in multiple trades at prices ranging from $105.58 to $107.12. The price reported above reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer, or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected.
( 8 )This transaction was executed in multiple trades at prices ranging from $105.67 to $106.86. The price reported above reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer, or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected.
( 9 )Stock options vest in cumulative installments of 25% on the first, second, third and fourth anniversaries of the grant date.

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).

Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.