-----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, U06z08P43zxpQ8CepuXaugHF02FYPyToa2hOc03/tEwKGhjAvuZKS+h5umx7D8/z TW6jY80coAUA/WD335U3Yw== 0000010427-04-000394.txt : 20040819 0000010427-04-000394.hdr.sgml : 20040819 20040819151640 ACCESSION NUMBER: 0000010427-04-000394 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040818 FILED AS OF DATE: 20040819 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: 04986162 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 c0001188720d20040819f4f.xml PRIMARY DOCUMENT X0202 4 2004-08-18 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 32682 D Common Stock 610 I By 401(k) Plan Class B Stock 9436 D Phantom Stock 0 2004-08-18 4 A 0 52 0 A 1988-08-08 1988-08-08 Common Stock 52 692 I Deferred Compensation Plan Phantom Stock 0 1988-08-08 1988-08-08 Common Stock 1333 1333 I LTI Deferred Compensation Plan 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 on a 1-for-1 basis. Jean F. Geisel, as Power of Attorney 2004-08-19 -----END PRIVACY-ENHANCED MESSAGE-----