-----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, E1tvJ1BEbHXvk9+LNY22viL4pB7se/iHIC311n7GGxvgK6Q5g3GYLTu1QhHANmKC 3iR52ndB7XUpiBO8rzVzFg== 0000840467-04-000182.txt : 20041001 0000840467-04-000182.hdr.sgml : 20041001 20041001165400 ACCESSION NUMBER: 0000840467-04-000182 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040929 FILED AS OF DATE: 20041001 DATE AS OF CHANGE: 20041001 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HAGGERTY CHARLES A CENTRAL INDEX KEY: 0001189026 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-10109 FILM NUMBER: 041059255 MAIL ADDRESS: STREET 1: 5500 WAYZATA BLVD. STREET 2: SUITE 800 CITY: GOLDEN VALLEY STATE: MN ZIP: 55416 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BECKMAN COULTER INC CENTRAL INDEX KEY: 0000840467 STANDARD INDUSTRIAL CLASSIFICATION: LABORATORY ANALYTICAL INSTRUMENTS [3826] IRS NUMBER: 951040600 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 4300 N HARBOR BLVD STREET 2: PO BOX 3100 CITY: FULLERTON STATE: CA ZIP: 92834-3100 BUSINESS PHONE: 7147736907 MAIL ADDRESS: STREET 1: 4300 N HARBOR BLVD STREET 2: PO BOX 3100 CITY: FULLERTON STATE: CA ZIP: 92834-3100 FORMER COMPANY: FORMER CONFORMED NAME: BECKMAN INSTRUMENTS INC DATE OF NAME CHANGE: 19920703 4 1 primary_doc.xml PRIMARY DOCUMENT X0202 4 2004-09-29 0 0000840467 BECKMAN COULTER INC BEC 0001189026 HAGGERTY CHARLES A 5500 WAYZATA BLVD. SUITE 800 GOLDEN VALLEY MN 55416 1 0 0 0 Phantom Stock Units 0 2004-09-29 4 A 0 278.1111 56.0927 A Common Stock 278.1111 14234.5968 D The phantom stock converts into common stock on a one-for-one basis. The shares of phantom stock become payable in cash or common stock upon the reporting person's termination of service as a director. Deborah J. Stouff, by Power of Attorney 2004-10-01 -----END PRIVACY-ENHANCED MESSAGE-----