-----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, UGFd3MBmxC+M13i0Z21dsnM8/tWC5YgkRS1e+SimhXVV3nTDkMM5Swk592ce0EBR kugmI9rlEqAkZgw39mm+pQ== 0000010427-04-000434.txt : 20041005 0000010427-04-000434.hdr.sgml : 20041005 20041005110126 ACCESSION NUMBER: 0000010427-04-000434 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041001 FILED AS OF DATE: 20041005 DATE AS OF CHANGE: 20041005 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KELLEY BARBARA M CENTRAL INDEX KEY: 0001188719 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-04105 FILM NUMBER: 041064648 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 c0001188719d20041005f4f.xml PRIMARY DOCUMENT X0202 4 2004-10-01 0 0000010427 BAUSCH & LOMB INC BOL 0001188719 KELLEY BARBARA M ONE BAUSCH & LOMB PLACE ROCHESTER NY 14604- 0 1 0 0 Vice President Common Stock 2004-10-01 4 A 0 15 67 A 7585 D Common Stock 495 I By 401(k) Plan Common Stock 10 I by spouse Class B Stock 3660 D Phantom Stock 0 2004-10-01 4 A 0 16 0 A 1988-08-08 1988-08-08 Common Stock 16 622 I Deferred Compensation Plan Phantom Stock 0 1988-08-08 1988-08-08 Common Stock 1133 1133 I LTI Deferred Compensation Plan Quarterly acquisition of BOL shares through dividend reinvestment. 1 - for - 1 conversion. Quarterly acquisition of dividend reinvestment phantom stock units pursuant to the BOL Deferred Stock Plans. 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 2004-10-05 -----END PRIVACY-ENHANCED MESSAGE-----