-----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, Gk/0sIJqcKsf0n9z1bQbyc/7RGF6rHEZTOFiGMcjWRBecHWdf51bI7sd0PsxnNK2 rY15XAF+ATuZZvNWvddwhA== 0000010427-04-000492.txt : 20041206 0000010427-04-000492.hdr.sgml : 20041206 20041206162156 ACCESSION NUMBER: 0000010427-04-000492 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041202 FILED AS OF DATE: 20041206 DATE AS OF CHANGE: 20041206 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: LOUGHLIN JOHN M CENTRAL INDEX KEY: 0001188725 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-04105 FILM NUMBER: 041186492 BUSINESS ADDRESS: STREET 1: C/O BAUSCH & LOMB INC STREET 2: ONE BAUSCH & LOMB PLACE CITY: ROCHESTER STATE: NY ZIP: 14604 BUSINESS PHONE: 5853385888 4 1 c0001188725d20041206f4s1f.xml PRIMARY DOCUMENT X0202 4 2004-12-02 0 0000010427 BAUSCH & LOMB INC BOL 0001188725 LOUGHLIN JOHN M ONE BAUSCH & LOMB PLACE ROCHESTER NY 14604- 0 1 0 0 Senior Vice President Common Stock 2004-12-02 4 J 0 10584 0 A 17752 D Common Stock 2004-12-02 4 F 0 4893 61.2 D 12859 D Common Stock 306 I Wife Common Stock 685 I By 401(k) Plan Class B Stock 2004-12-02 4 M 0 2409 41.5 A 13909 D Class B Stock 2004-12-02 4 M 0 2820 35.375 A 16729 D Class B Stock 2004-12-02 4 M 0 2355 42.375 A 19084 D Class B Stock 2004-12-02 4 J 0 10584 0 D 8500 D Incentive Stock Options 35.375 2004-12-02 4 M 0 2820 0 D 1999-07-31 2006-07-31 Class B Stock 2820 0 D Incentive Stock Options 41.5 2004-12-02 4 M 0 2409 0 D 1998-07-18 2005-07-18 Class B Stock 2409 0 D Incentive Stock Options 42.375 2004-12-02 4 M 0 2355 0 D 2000-07-21 2007-07-21 Class B Stock 2355 0 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. Incentive Stock Options shown on Table II for 7,584 shares exercised with the exercise price paid by delivery of 4,893 shares of previously-owned stock in a transaction exempt under Rule 16b-3. Jean F. Geisel, as Power of Attorney 2004-12-06 -----END PRIVACY-ENHANCED MESSAGE-----