-----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, P1AG5GCGiV6DFEihcnnpZ+bxKK87AZTJ3LAUX4WcFSJ0WyYK45eIAyWh3gUFeKLl KgWG6Mj6yEv9CTJ/9mLmcw== 0000010427-04-000478.txt : 20041115 0000010427-04-000478.hdr.sgml : 20041115 20041115152113 ACCESSION NUMBER: 0000010427-04-000478 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: MCCLUSKI STEPHEN C CENTRAL INDEX KEY: 0001188728 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-04105 FILM NUMBER: 041144704 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 0001188728 MCCLUSKI STEPHEN C ONE BAUSCH & LOMB PLACE ROCHESTER NY 14604 0 1 0 0 Senior Vice President and CFO Class B Stock 2004-11-10 4 M 0 2409 41.5 A 8409 D Class B Stock 2004-11-10 4 M 0 19791 41.5 A 28200 D Class B Stock 2004-11-10 4 J 0 22200 D 6000 D Common Stock 2004-11-10 4 J 0 22200 A 39605 D Common Stock 2004-11-10 4 S 0 22200 61.5 D 17405 D Common Stock 733 I 401(k) Plan Incentive Stock Options 41.5 2004-11-10 4 M 0 2409 61.5 D 1998-07-18 2005-07-18 Class B Stock 2409 0 D Non-Qualified Stock Options 41.5 2004-11-10 4 M 0 19791 61.5 D 1998-07-18 2005-07-18 Class B Stock 19791 0 D Phantom Stock 2004-11-10 4 A 0 71 A Common Stock 71 5279 I Deferred Compensation Plan 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. Common shares sold pursuant to a 10b5-1 trading plan entered into on March 2, 2004 and amended on November 9, 2004. 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 2004-11-10 -----END PRIVACY-ENHANCED MESSAGE-----