-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, L+OMH+jNVlJVJblwfI5IDqZsVjtER+tH9wGdPLoOYjNc8wMIkUMPZcOlsdsWW6jN AU+ZfU6OMjnH8AD9taI4Dw== 0001195840-04-000001.txt : 20040506 0001195840-04-000001.hdr.sgml : 20040506 20040506153450 ACCESSION NUMBER: 0001195840-04-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040504 FILED AS OF DATE: 20040506 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CLOUGH CHARLES M CENTRAL INDEX KEY: 0001195840 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15181 FILM NUMBER: 04785061 BUSINESS ADDRESS: STREET 1: C/O FAIRCHILD SEMICONDUCTOR STREET 2: 82 RUNNING HILL ROAD MS 35-4E CITY: SOUTH PORTLAND STATE: ME ZIP: 04106 BUSINESS PHONE: 408-822-2113 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FAIRCHILD SEMICONDUCTOR INTERNATIONAL INC CENTRAL INDEX KEY: 0001036960 STANDARD INDUSTRIAL CLASSIFICATION: SEMICONDUCTORS & RELATED DEVICES [3674] IRS NUMBER: 043363001 STATE OF INCORPORATION: DE FISCAL YEAR END: 1226 BUSINESS ADDRESS: STREET 1: 82 RUNNING HILL RD CITY: SOUTH PORTLAND STATE: ME ZIP: 04106 BUSINESS PHONE: 2077758100 MAIL ADDRESS: STREET 1: 82 RUNNING HILL RD CITY: SOUTH PORTLAND STATE: ME ZIP: 04106 FORMER COMPANY: FORMER CONFORMED NAME: FSC SEMICONDUCTOR CORP DATE OF NAME CHANGE: 19970424 4 1 edgar.xml PRIMARY DOCUMENT X0202 4 2004-05-04 0001036960 FAIRCHILD SEMICONDUCTOR INTERNATIONAL INC NYSE: FCS 0001195840 CLOUGH CHARLES M FAIRCHILD SEMICONDUCTOR INTERNATIONAL 82 RUNNING HILL ROAD SOUTH PORTLAND ME 04106 1 0 0 0 Option to Purchase Common Stock 19.65 2004-05-04 4 A 0 15000 0 A 2012-05-04 Common Stock, par value $.01 per share 15000 15000 D Grant becomes exercisable one year following grant date. Paul D. Delva (Attorney-in-fact) 2004-05-06 -----END PRIVACY-ENHANCED MESSAGE-----