-----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, CS7QZENd6rkNADSAsW+hyHJd/hD/JUQR8XhW/lizldxTO7YPXD5OsrF5kfKCQGhu kr8axqIymbG+Nb/krkVxPQ== 0000010427-03-000051.txt : 20030203 0000010427-03-000051.hdr.sgml : 20030203 20030203164632 ACCESSION NUMBER: 0000010427-03-000051 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030128 FILED AS OF DATE: 20030203 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: WILSON BARRY W CENTRAL INDEX KEY: 0001145156 RELATIONSHIP: DIRECTOR FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: 710 MEDTRONIC PKWY MS LC310 CITY: MINNEAPOLIS STATE: MN ZIP: 55432-5604 BUSINESS PHONE: 7635144000 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: BAUSCH & LOMB INC CENTRAL INDEX KEY: 0000010427 STANDARD INDUSTRIAL CLASSIFICATION: OPHTHALMIC GOODS [3851] IRS NUMBER: 160345235 STATE OF INCORPORATION: NY FISCAL YEAR END: 1226 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-04105 FILM NUMBER: 03536872 BUSINESS ADDRESS: STREET 1: BAUSCH & LOMB INCORPORATED STREET 2: ONE BAUSCH & LOMB PLACE CITY: ROCHESTER STATE: NY ZIP: 14604-2701 BUSINESS PHONE: 5853386000 MAIL ADDRESS: STREET 1: ONE BAUSCH & LOMB PLACE STREET 2: P O BOX 54 CITY: ROCHESTER STATE: NY ZIP: 14604-2701 3 1 bw012803.txt BARRY W. WILSON FORM 3 1. Name and Address of Reporting Person Wilson, Barry W. One Bausch & Lomb Place Rochester, NY 14604- 2. Date of Event Requiring Statement (Month/Day/Year) 01/28/2003 3. IRS or Social Security Number of Reporting Person (Voluntary) 4. Issuer Name and Ticker or Trading Symbol Bausch & Lomb Incorporated (BOL) 5. Relationship of Reporting Person(s) to Issuer (Check all applicable) (X) Director ( ) 10% Owner ( ) Officer (give title below) ( ) Other (specify below) 6. If Amendment, Date of Original (Month/Day/Year) 7. Individual or Joint/Group Filing (Check Applicable Line) (X) Form filed by One Reporting Person ( ) Form filed by More than One Reporting Person TABLE I -- Non-Derivative Securities Beneficially Owned
+------------------------------------------+----------------------+----------------+-----------------------------------------------+ |1. Title of Security |2. Amount of |3. Ownership |4. Nature of Indirect Beneficial Ownership | | | Securities | Form: | | | | Beneficially Owned | Direct(D) or | | | | | Indirect(I) | | +------------------------------------------+----------------------+----------------+-----------------------------------------------+ Common Stock 3134 D
TABLE II -- Derivative Securities Beneficially Owned
+-----------------------+---------------------+---------------------------------+----------+-------------+-------------------------+ |1.Title of Derivative |2.Date Exercisable |3.Title and Amount of Securities |4.Conver- |5.Ownership |6. Nature of Indirect | | Security | and Expiration Date| Underlying Derivative | sion or | Form of | Beneficial Ownership | | | (Month/Day/Year) | Security | Exercise | Derivative | | | +----------+----------+-----------------------+---------+ Price of | Security: | | | | Date | Expira- | |Amount or| Deri- | Direct(D) or| | | | Exer- | tion | Title |Number of| vative | Indirect(I) | | | | cisable | Date | |Shares | Security | | | +-----------------------+----------+----------+-----------------------+---------+----------+-------------+-------------------------+ Phantom Stock Common Stock 761 $0 I Deferred Compensation Explanation of Responses: The reported phantom stock units were acquired under the Company's Deferred Compensation Plan and will be settled upon the reporting person's payout election. 1 - for - 1 conversion.
SIGNATURE OF REPORTING PERSON /s/ Barry W. Wilson DATE 02/03/2003
-----END PRIVACY-ENHANCED MESSAGE-----