-----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, J3kx8aj6TLGoDb1JDLGWYCGmCDoYIyHE8XlBU6CuSSWLbTk3KVwZ1dsxdY47FTlp cPIdDj1dSJvlrqPV5pPHZA== 0000010427-04-000457.txt : 20041103 0000010427-04-000457.hdr.sgml : 20041103 20041103101025 ACCESSION NUMBER: 0000010427-04-000457 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041101 FILED AS OF DATE: 20041103 DATE AS OF CHANGE: 20041103 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: NACHBAR DAVID R CENTRAL INDEX KEY: 0001203649 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-04105 FILM NUMBER: 041115028 BUSINESS ADDRESS: STREET 1: BAUSCH & LOMB INC STREET 2: ONE BAUSCH & LAMB PLACE CITY: ROCHESTER STATE: NY ZIP: 14604 BUSINESS PHONE: 5853386010 MAIL ADDRESS: STREET 1: ONE BAUSCH & LOMB PLACE CITY: ROCHESTER STATE: NY ZIP: 14604 4 1 c0001203649d20041103f4f.xml PRIMARY DOCUMENT X0202 4 2004-11-01 0 0000010427 BAUSCH & LOMB INC BOL 0001203649 NACHBAR DAVID R ONE BAUSCH & LOMB PLACE ROCHESTER NY 14604- 0 1 0 0 Senior Vice President Common Stock 2004-11-01 4 J 0 2287 0 A 3097 D Common Stock 169 I 401(k) Plan Class B Stock 2004-11-01 4 F 0 1213 60.81 D 7787 D Class B Stock 2004-11-01 4 J 0 2287 0 D 5500 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. Jean F. Geisel, as Power of Attorney 2004-11-03 -----END PRIVACY-ENHANCED MESSAGE-----