Washington, D.C. 20549




Specialized Disclosure Report




(Exact name of registrant as specified in its charter)




Delaware   1-7685   95-1492269
(State or other jurisdiction of
incorporation or organization)
File Number)
  (IRS Employer
Identification No.)


8080 Norton Parkway, Mentor, Ohio   44060
(Address of principal executive offices)   (Zip Code)

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:


Rule 13p-1 under the Securities Exchange Act (17 CFR 240.13p-1) for the reporting period from January 1 to December 31, 2021.




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, 2021 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 Company’s website at www.averydennison.com/conflictminerals. Information on the Company’s 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 Company’s Conflict Minerals Report for calendar year 2021 is filed as Exhibit 1.01 of this report and is incorporated herein by reference.

Section 2 — Exhibits


Exhibit No.    Description
1.01    Conflict Minerals Report of Avery Dennison Corporation, as required by Items 1.01 and 1.02 of Form SD.




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 27, 2022


By:   /s/ Ignacio J. Walker
Name:   Ignacio J. Walker
Title:   Vice President and Chief Legal Officer



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