4 1 dh022503.txt DWAIN L. HAHS FORM 4 1. Name and Address of Reporting Person Hahs, Dwain L. One Bausch & Lomb Place Rochester, NY 14604- 2. Issuer Name and Ticker or Trading Symbol Bausch & Lomb Incorporated (BOL) 3. IRS or Social Security Number of Reporting Person (Voluntary) 4. Statement for Month/Year 2/2003 5. If Amendment, Date of Original (Month/Day/Year) 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) ( ) Director ( ) 10% Owner (X) Officer (give title below) ( ) Other (specify below) Senior Vice President 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 Acquired, Disposed of, or Beneficially Owned
+---------------------------------+----------+-------------+-----------------------------+----------------+-----------+------------+ |1. Title of Security |2. Trans- |3. Trans- |4. Securities Acquired (A) |5. Amount of |6. Owner- |7. Nature | | | action | action | or Disposed of (D) | Securities | ship | of In- | | | Date | Code | | Beneficially | Form: | direct | | | | | | Owned at | Direct | Bene- | | | (Month/ | | | End of | (D) or | ficial | | | Day/ +-------+-----+-----------+------+----------+ Month | Indirect| Owner- | | | Year) |Code |V |Amount |A/D |Price | | (I) | ship | +---------------------------------+----------+-------+-----+-----------+------+----------+----------------+-----------+------------+ Common Stock 02/26/2003 J 1123 A $30.4200 31025 D Common Stock 299 I By 401(k) Plan Class B Stock 02/25/2003 J -1000 D $0.0000 D Class B Stock 02/26/2003 F -627 D $30.4200 D Class B Stock 02/26/2003 J -1123 D $30.4200 23330 D
TABLE II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned
+-------------+--------+----------+---------+-----------+---------------------+----------------+----------+--------+-------+-------+ |1. |2. |3. |4. |5. |6. |7. |8. |9. |10. |11. | | | | | | | | | |Number |Owner- | | | | | | | | | | |of |ship | | | | | | | | | | |Deriv- |Form of| | | | | | | | |Title and Amount| |ative |Deriv- | | | | | | | | |of Underlying | |Secur- |ative |Nature | | |Conver- | | |Number of | |Securities | |ities |Secur- |of | | |sion or | | |Derivative |Date Exercisable +-------+--------+ |Benefi- |ity: |In- | | |Exercise| | |Securities |and Expiration Date | |Amount | |cially |Direct |direct | | |Price of|Transac- |Transac- |Acquired(A)|(Month/Day/Year) | |or | |Owned |(D) or |Bene- | |Title of |Deriv- |tion Date |tion Code|Disposed(D)+----------+----------+ |Number |Price of |at End |In- |ficial | |Derivative |ative |(Month/ +------+--+-----+-----+Date Exer-|Expira- | |of |Derivative|of |direct |Owner- | |Security |Security|Day/Year) |Code |V |(A) |(D) |cisable |tion Date |Title |Shares |Security |Month |(I) |ship | +-------------+--------+----------+------+--+-----+-----+----------+----------+-------+--------+----------+--------+-------+-------+ Phantom Stock $0 02/25/2003 J 1000 Common 1000 $0.0000 I LTI Stock Deferred Compensa tion Plan Phantom Stock $0 02/25/2003 A 20 Common 20 $0.0000 6305 I LTI Stock Deferred Compensa tion Plan Non-Qualified $29.845 02/25/2003 A 30000 02/25/2004 02/25/2013 Class B 30000 $29.8450 30000 D Stock Options Stock Explanation of Responses: Exchange of Class B stock for an equal amount of Common stock, as a result of a restricted stock vesting. Exchange of Class B stock for an equal amount of Phantom stock units deposited into the reporting person's deferred compensation account on a 1-for-1 basis as a result of a restricted stock vesting. 1 - for - 1 conversion. 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. The option vests annually in three equal installments from the date of grant.
SIGNATURE OF REPORTING PERSON /s/ Jean F. Geisel, pusuant to power of attorney for Dwain L. Hahs DATE 02/27/2003