SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
MOORE ROBERT J

(Last) (First) (Middle)
ONE BAUSCH & LOMB PLACE

(Street)
ROCHESTER NY 14604-

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
01/05/2007
3. Issuer Name and Ticker or Trading Symbol
BAUSCH & LOMB INC [ BOL ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
Officer (give title below) X Other (specify below)
Member, Corp. Strategy Board
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 15,531(1) D
Common Stock 170 I By 401(k) Plan
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Non-Qualified Stock Options (2) 02/25/2013 Common Stock 1,667 $29.845 D
Non-Qualified Stock Options (3) 02/02/2014 Common Stock 8,000 $54.26 D
Non-Qualified Stock Options (4) 01/31/2015 Common Stock 7,000 $71.845 D
Phantom Stock (6) (6) Common Stock 522 (5) I Deferred Compensation Plan
Explanation of Responses:
1. Includes 5,000 restricted stock shares which shall vest in halves on July 26, 2010 and July 26, 2012, and 7,500 restricted stock shares which shall vest in halves on July 25, 2009 and July 25, 2011. The restricted stock shares will automatically convert to shares of BOL common stock upon vesting.
2. All options are currently exercisable.
3. The option is exercisable in three equal annual installments. The first installment became exercisable on February 2, 2005, and the second installment became exercisable on February 2, 2006. The last installment becomes exercisable on February 2, 2007.
4. The option is exercisable in three equal annual installments. The first installment became exercisable on January 31, 2006, and the next two installments become exercisable on January 31, 2007 and January 31, 2008.
5. Each share of phantom stock is the economic equivalent of one share of BOL common stock.
6. The reported phantom stock was acquired under the Company's Deferred Compensation Plan and will be settled upon the reporting person's payout election by delivery of BOL common stock on a 1-for-1 basis. Each share of phantom stock is the economic equivalent of one share of BOL common stock.
Robert J Moore 01/12/2007
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.