-----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, RGKpwg0ta2JMzAHPJT3WTCHTn/P20PdjusDJ4gz6gL00ERtIhZsZs3BJfeASRLPs +sLzHNx74GZQe7SKhC+5NQ== 0001179110-05-009399.txt : 20050510 0001179110-05-009399.hdr.sgml : 20050510 20050510165158 ACCESSION NUMBER: 0001179110-05-009399 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050506 FILED AS OF DATE: 20050510 DATE AS OF CHANGE: 20050510 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FISHER SCIENTIFIC INTERNATIONAL INC CENTRAL INDEX KEY: 0000880430 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-PROFESSIONAL & COMMERCIAL EQUIPMENT & SUPPLIES [5040] IRS NUMBER: 020451017 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: LIBERTY LANE CITY: HAMPTON STATE: NH ZIP: 03842 BUSINESS PHONE: 6039265911 MAIL ADDRESS: STREET 1: LIBERTY LANE CITY: LIBEHAMPTON STATE: NH ZIP: 03842 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SPERLING SCOTT M CENTRAL INDEX KEY: 0001214212 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-10920 FILM NUMBER: 05817505 BUSINESS ADDRESS: STREET 1: C/O THOMAS H LEE PARTNERS LP STREET 2: 75 STATE ST CITY: BOSTON STATE: MA ZIP: 02109 BUSINESS PHONE: 6172271050 MAIL ADDRESS: STREET 1: C/O THOMAS H. LEE PARTNERS, L.P. STREET 2: 100 FEDERAL STREET, 35TH FLOOR CITY: BOSTON STATE: MA ZIP: 02110 4 1 edgar.xml FORM 4 - X0202 4 2005-05-06 0 0000880430 FISHER SCIENTIFIC INTERNATIONAL INC FSH 0001214212 SPERLING SCOTT M C/O THOMAS H. LEE PARTNERS, L.P. 100 FEDERAL STREET, 35TH FLOOR BOSTON MA 02110 1 0 0 0 Stock Options (right to buy) 60.07 2005-05-06 4 A 0 10000 0.00 A 2006-05-06 2015-05-06 Common Stock 10000 10000 D The shares underlying these stock options become vested and exercisable in three installments, as follows: 33.33% on the first anniversary of the award; 33.33% on the second anniversary of the award; and 33.33% on the third anniversary of the award. /s/ Scott M. Sperling 2005-05-10 -----END PRIVACY-ENHANCED MESSAGE-----