UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | SEC 1473 (7-02) | ||
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 control number. |
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
2014 MSU Award | 02/26/2015 | 02/22/2018 | Common Stock | 958 (1) | $ 0 | D | Â |
2015 MSU Award | 02/25/2016 | 02/28/2019 | Common Stock | 2,707 (1) | $ 0 | D | Â |
2016 MSU Award | 02/23/2017 | 02/27/2020 | Common Stock | 2,468 (1) | $ 0 | D | Â |
2017 MSU Award | 02/22/2018 | 02/25/2021 | Common Stock | 2,705 (1) | $ 0 | D | Â |
2015 PU Award | 02/22/2018 | 02/22/2018 | Common Stock | 5,027 (2) | $ 0 | D | Â |
2016 PU Award | 02/28/2019 | 02/28/2019 | Common Stock | 3,836 (3) | $ 0 | D | Â |
2017 PU Award | 02/27/2020 | 02/27/2020 | Common Stock | 3,114 (4) | $ 0 | D | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Lovins Gregory 207 GOODE AVENUE GLENDALE, CA 91203 |
 |  |  V.P. and Interim CFO |  |
/s/ Erica Perry POA for Gregory Lovins | 03/23/2017 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 5(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). |
(1) | Market leveraged stock units vest 25% over one-, two-, three- and four-year performance periods using a conversion formula under which the number of shares earned at each vesting date is based on the percentage change in the Company's stock price, plus dividend equivalents accrued during the vesting period. Each marked leveraged stock unit represents a contingent right to receive one share of Avery Dennison Corporation common stock, plus dividend equivalents. |
(2) | Performance units vest, if at all, at the end of fiscal year 2017, provided certain Company performance objectives are met as determined in February 2018. Each performance unit represents a contingent right to receive one share of Avery Dennison Corporation common stock. |
(3) | Performance units vest, if at all, at the end of fiscal year 2018, provided certain Company performance objectives are met as determined in February 2019. 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 2019, provided certain Company performance objectives are met as determined in February 2020. Each performance unit represents a contingent right to receive one share of Avery Dennison Corporation common stock. |