-----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, Jr6aG/TbG6BP8gop62Cauuo2OORl03OFNClAuuPzyES3JgiZusyaY7a/itN5SzFK /N9fqwqD+3jGMTexF5GSPg== 0000010427-04-000476.txt : 20041115 0000010427-04-000476.hdr.sgml : 20041115 20041115144244 ACCESSION NUMBER: 0000010427-04-000476 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041110 FILED AS OF DATE: 20041115 DATE AS OF CHANGE: 20041115 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: 041144214 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 primary_doc.xml PRIMARY DOCUMENT X0202 4 2004-11-10 0 0000010427 BAUSCH & LOMB INC BOL 0001188720 KUSHNER JURIJ Z ONE BAUSCH & LOMB PLACE ROCHESTER NY 14604 0 1 0 0 Vice President and Controller Common 32752 D Common 616 I 401(k) Plan Class B 9436 D Phantom Stock 2004-11-10 4 A 0 47 A Common 47 1872 I 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 by Power of Attorney 2004-11-15 -----END PRIVACY-ENHANCED MESSAGE-----