SEC FORM 4 SEC Form 4
FORM 4 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
or Section 30(h) of the Investment Company Act of 1940
 
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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).
1. Name and Address of Reporting Person*
Yost Ryan D

(Last) (First) (Middle)
8080 NORTON PARKWAY

(Street)
MENTOR OH 44060

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Avery Dennison Corp [ AVY ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
President, Materials Group
3. Date of Earliest Transaction (Month/Day/Year)
03/01/2024
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Rule 10b5-1(c) Transaction Indication

  
Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 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 03/01/2024 M 303 A $216.45 2,436 D
Common Stock 03/01/2024 F 109 D $216.45 2,327 D
Common Stock 03/01/2024 M 143 A $216.45 2,470 D
Common Stock 03/01/2024 F 51 D $216.45 2,419 D
Common Stock 03/01/2024 M 164 A $216.45 2,583 D
Common Stock 03/01/2024 F 49 D $216.45 2,534 D
Common Stock 03/01/2024 M 218 A $216.45 2,752 D
Common Stock 03/01/2024 F 67 D $216.45 2,685 D
Common Stock 03/01/2024 M 567 A $216.45 3,252 D
Common Stock 03/01/2024 F 174 D $216.45 3,078 D
Common Stock 03/01/2024 M 1,674 A $216.45 4,752 D
Common Stock 03/01/2024 F 509 D $216.45 4,243 D
Common Stock (Savings Plan) 3.5117 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 (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 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 (Month/Day/Year) 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: 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
2024 MSU Award $0 03/01/2024 A 1,819 03/01/2025(1) 03/01/2028 Common Stock 1,819 $0 1,819 D
2024 PU Award $0 03/01/2024 A 2,207 03/01/2027(2) 03/01/2027 Common Stock 2,207 $0 2,207 D
2024 Special PU Award $0 03/01/2024 A 1,318 03/01/2027(2) 03/01/2027 Common Stock 1,318 $0 1,318 D
2024 Special RSU $0 03/01/2024 A 3,234 03/01/2027(3) 03/01/2027 Common Stock 3,234 $0 3,234 D
2020 MSU Award $0 03/01/2024 M 303 03/01/2021(4) 03/01/2024 Common Stock 303 $0 0 D
2021 MSU Award $0 03/01/2024 M 143 03/01/2022(5) 03/01/2025 Common Stock 143 $0 102 D
2022 MSU Award $0 03/01/2024 M 164 03/01/2023(6) 03/01/2026 Common Stock 164 $0 339 D
2023 MSU Award $0 03/01/2024 M 218 03/01/2024(7) 03/01/2027 Common Stock 218 $0 659 D
2021 PU Award $0 03/01/2024 M 567 03/01/2024(8) 03/01/2024 Common Stock 567 $0 0 D
2021 RSU Award $0 03/01/2024 M 1,674 03/01/2024(9) 03/01/2024 Common Stock 1,674 $0 0 D
Explanation of Responses:
1. Market-leveraged stock units (MSUs) 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. Each MSU represents a contingent right to receive one share of common stock, plus dividend equivalents accrued during the vesting period.
2. Performance units (PUs) vest, at the end of fiscal year 2026, provided certain performance objectives are met as determined by the Compensation Committee in February 2027. Each PU represents a contingent right to receive one share of common stock.
3. Restricted stock units (RSUs) cliff vest on the third anniversary of the grant date. Each RSU represents a contingent right to receive one share of common stock.
4. Shares reflect the vesting of the fourth tranche of MSUs granted in February 2020 at 180% of target based on our absolute total stockholder return in excess of 10% during the 2020-2023 performance period, plus dividend equivalents accrued during the period.
5. Shares reflect the vesting of the third tranche of MSUs granted in March 2021 at 134% of target based on our absolute total stockholder return in excess of 10% during the 2021-2023 performance period, plus dividend equivalents accrued during the period.
6. Shares reflect the vesting of the second tranche of MSUs granted in March 2022 at 94% of target based on our absolute total stockholder return during the 2022-2023 performance period, plus dividend equivalents accrued during the period.
7. Shares reflect the vesting of the first tranche of MSUs granted in March 2023 at 98% of target based on our absolute total stockholder return during the 2023 performance period, plus dividend equivalents accrued during the period.
8. Shares reflect the vesting of PUs granted in March 2021 at 123% of target, based 75% on the cumulative economic value added of RBIS (now Solutions Group) and 25% on our relative total stockholder return.
9. Shares reflect the vesting of the RSUs granted on March 1, 2021.
/s/ Vikas Arora, attorney-in-fact for Ryan D Yost 03/05/2024
** Signature of Reporting Person 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).
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