FEC Disclosure Form 1M for Avery Dennison Corporation Employee Political Action Committee (ADePAC)Form 1M for Avery Dennison Corporation Employee Political Action Committee (ADePAC)

FEC FORM 1M

NOTIFICATION OF MULTICANDIDATE STATUS

FILING FEC-506841

1. Avery Dennison Corporation Employee Political Action Committee (ADePAC)

455 Capitol Mall, Suite 801
Sacramento, CA 95814

2. FEC Committee ID #: C00467340

3. This is NOT a state party committee

4. STATUS BY AFFILIATION:

The committee submitted its Statement of Organization (FEC FORM 1)
on ________________________ and simultaneously qualified as a multicandidate committee through its
affiliation with:

Committee Name: ________________________
FEC Identification Number: _______________________

5. STATUS BY QUALIFICATION:

(a) Candidates: The committee has made contributions to the five federal candidates listed below:

	Name	Office Sought	State/District	Date
(i)	Barbara Boxer	Senate	California/	12/17/2009
(ii)	Jason Altmire	House of Representatives	Pennsylvania/04	03/29/2010
(iii)	Steve LaTourette	House of Representatives	Ohio/14	05/21/2010
(iv)	Sherrod Brown	Senate	Ohio/	05/27/2010
(v)	Jeff Duncan	House of Representatives	South Carolina/03	09/21/2010

(b) Contributors: The committee received a contribution from its 51st contributor on: 10/20/2010

(c) Registration: The committee has been registered for at least 6 months. FEC FORM 1 was submitted on: 09/22/2009

(d) Qualification: The committee met the above requirements on: 10/20/2010

Treasurer: Ashlee N. Titus
Date Signed: 10/20/2010

(End FEC FORM 1M)

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