-----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, SylNDaU9jXBW/1BbyEeNKTv7L+FDPxKAVbwyZe36iW4r1pgFDCQyrZfK0AXqS60b nlPjDrH/F9pV8r7qDGoFEg== 0000010427-04-000138.txt : 20040223 0000010427-04-000138.hdr.sgml : 20040223 20040223100433 ACCESSION NUMBER: 0000010427-04-000138 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040220 FILED AS OF DATE: 20040223 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KUSHNER JURIJ Z CENTRAL INDEX KEY: 0001188720 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-04105 FILM NUMBER: 04620880 BUSINESS ADDRESS: STREET 1: C/O BAUSCH & LOMB INC STREET 2: ONE BAUSCH & LOMB PLACE CITY: ROCHESTER STATE: NY ZIP: 14604 BUSINESS PHONE: 5853385888 ISSUER: 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 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 4 1 c0001188720d20040223f4f.xml PRIMARY DOCUMENT X0201 4 2004-02-20 0 0000010427 BAUSCH & LOMB INC BOL 0001188720 KUSHNER JURIJ Z ONE BAUSCH & LOMB PLACE ROCHESTER NY 14604- 0 1 0 0 Vice President & Controller Common Stock 2004-02-20 4 J 0 7800 0 A 31373 D Common Stock 2004-02-20 4 S 0 7800 58.28 D 23573 D Common Stock 473 I By 401(k) Plan Class B Stock 2004-02-20 4 M 0 810 35.5625 A 19206 D Class B Stock 2004-02-20 4 M 0 2409 41.5 A 21615 D Class B Stock 2004-02-20 4 M 0 4581 41.5 A 26196 D Class B Stock 2004-02-20 4 J 0 7800 0 D 18396 D Incentive Stock Options 35.5625 2004-02-20 4 M 0 810 58.28 D 1995-07-25 2004-07-25 Class B Stock 810 0 D Incentive Stock Options 41.5 2004-02-20 4 M 0 2409 58.28 D 1996-07-18 2005-07-18 Class B Stock 2409 0 D Non-Qualified Stock Options 41.5 2004-02-20 4 M 0 4581 58.28 D 1996-07-18 2005-07-18 Class B Stock 4581 0 D Exchange of Class B stock for an equal amount of Common stock on a 1-for-1 basis, in accordance with the terms of the Class B stock. The conversion is exempt under Rule 16b-6. 1 - for - 1 conversion. Jurij Z Kushner 2004-02-23 -----END PRIVACY-ENHANCED MESSAGE-----