-----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, WK+zgQGM9OqPWa32rATQw7nOq04NL0eJU/nTU+7BbzRPovQ24G2nTas9Ni3w9/no sj2zdOdZFPZoQhXkb8/AKA== 0000898822-07-001313.txt : 20071030 0000898822-07-001313.hdr.sgml : 20071030 20071030215032 ACCESSION NUMBER: 0000898822-07-001313 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: FARNSWORTH ALAN H CENTRAL INDEX KEY: 0001188712 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-04105 FILM NUMBER: 071201014 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 farnsworth_ex.xml X0202 4 2007-10-26 1 0000010427 BAUSCH & LOMB INC BOL 0001188712 FARNSWORTH ALAN H 0 1 0 0 Senior Vice President Common Stock 2007-10-26 4 D 0 35879 D 0 D Class B Stock 2007-10-26 4 D 0 10740 D 0 D Common Stock 2007-10-26 4 D 0 2175 D 0 I By 401(k) Plan Common Stock 2007-10-26 4 M 0 8979 A 0 D Incentive Stock Options 50.9375 2007-10-26 4 D 0 1963 14.0625 D 2008-07-27 Class B Stock 1963 0 D Non-Qualified Stock Options 61.9688 2007-10-26 4 D 0 15000 3.0312 D 2010-07-24 Class B Stock 15000 0 D Non-Qualified Stock Options 38.345 2007-10-26 4 D 0 27500 27.755 D 2012-01-28 Class B Stock 27500 0 D Non-Qualified Stock Options 29.845 2007-10-26 4 D 0 25000 36.255 D 2013-02-25 Class B Stock 25000 0 D Non-Qualified Stock Options 50.9375 2007-10-26 4 D 0 8037 14.0625 D 2008-07-27 Class B Stock 8037 0 D Non-Qualified Stock Options 54.26 2007-10-26 4 D 0 22000 10.74 D 2014-02-02 Common Stock 22000 0 D Non-Qualified Stock Options 44.825 2007-10-26 4 D 0 18000 20.175 D 2011-01-29 Class B Stock 18000 0 D Phantom Stock 2007-10-26 4 M 0 3338 0 D Common Stock 3338 0 I Deferred Compensation Plan Phantom Stock 2007-10-26 4 M 0 1302 0 D 2012-01-01 Common Stock 1302 0 I Deferred Compensation Plan Phantom Stock 2007-10-26 4 M 0 1000 0 D 2011-01-01 Common Stock 1000 0 I Deferred Compensation Plan Phantom Stock 2007-10-26 4 M 0 3339 0 D Common Stock 3339 0 I LTI 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. This option was cancelled in the merger pursuant to the Merger Agreement in exchange for an amount in cash, without interest, equal to the product of (1) the number of shares of issuer stock previously subject to such option and (2) the excess, if any, of the merger consideration ($65.00 per share) over the purchase price per share previously subject to such option, less any required withholding taxes. This option was cancelled in the merger pursuant to the Merger Agreement. Pursuant to the applicable award agreement, this option was exchanged for a cash payment equal to the product of the number of issuer shares previously subject to such option and the excess, if any, of the highest trading price of issuer common stock during the 60-day period concluding on the date of shareholder approval and adoption of the Merger Agreement over the purchase price per share previously subject to such option, less any required withholding taxes. /s/ Robert D. Bailey, attorney-in-fact 2007-10-30 -----END PRIVACY-ENHANCED MESSAGE-----