-----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, Im9pcAzdarmYSa3gtsUgzxD2b/JjLCw6HlRJQ32swK65KKVHCQEOzfqlr4P9OZ82 650VbJdSZT9ZiVJclO6dBA== 0000898822-07-001299.txt : 20071030 0000898822-07-001299.hdr.sgml : 20071030 20071030214156 ACCESSION NUMBER: 0000898822-07-001299 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20071026 FILED AS OF DATE: 20071030 DATE AS OF CHANGE: 20071030 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JONES EVON L CENTRAL INDEX KEY: 0001181731 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-04105 FILM NUMBER: 071200991 BUSINESS ADDRESS: BUSINESS PHONE: 585-338-5888 MAIL ADDRESS: STREET 1: ONE BAUSCH & LOMB PLACE CITY: ROCHESTER STATE: NY ZIP: 14604 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 jones_ex.xml X0202 4 2007-10-26 1 0000010427 BAUSCH & LOMB INC BOL 0001181731 JONES EVON L ONE BAUSCH & LOMB PLACE ROCHESTER NY 14604 0 1 0 0 Vice President Common Stock 2007-10-26 4 D 0 21596 D 0 D Common Stock 2007-10-26 4 D 0 1101 D 0 I By 401(k) Plan Common Stock 2007-10-26 4 M 0 2072 A 0 D Phantom Stock 2007-10-26 4 M 0 834 0 D 2012-01-01 Common Stock 834 0 I Deferred Compensation Plan Phantom Stock 2007-10-26 4 M 0 397 0 D Common Stock 397 0 I Deferred Compensation Plan Phantom Stock 2007-10-26 4 M 0 841 0 D 2011-01-01 Common Stock 841 0 I Deferred Compensation Plan Disposed of pursuant to agreement and plan of merger by and among issuer, WP Prism Inc. (f/k/a WP Prism LLC) and WP Prism Merger Sub Inc. (the "Merger Agreement") in exchange for $65.00 per share, without interest, less any applicable withholding tax, on the effective date of the merger. Shares held in issuer's 401(k) Plan, disposed of pursuant to the Merger Agreement, and cancelled in exchange for an amount in cash, without interest, equal to the merger consideration ($65.00 per share). The reported shares of phantom stock were cancelled in the merger pursuant to the Merger Agreement in exchange for a right to receive an amount in cash equal to the product of the number of issuer shares previously subject to such shares of phantom stock and the merger consideration ($65.00 per share), less any applicable withholding taxes. Each share of phantom stock was the economic equivalent of a share of issuer common stock. /s/ Robert D. Bailey, attorney-in-fact 2007-10-30 -----END PRIVACY-ENHANCED MESSAGE-----