FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP 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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
FISHER SCIENTIFIC INTERNATIONAL INC [ FSH ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 11/09/2006 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common Stock | 11/09/2006 | D | 16,843 | D | (1) | 0 | D | |||
Common Stock | 11/09/2006 | D | 2,000 | D | (2) | 0 | D |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Employee Stock Option (right to buy) | $57.36(3) | 11/09/2006 | D | 10,000 | (3) | 06/28/2014 | Common Stock | 10,000 | (3) | 0 | D | ||||
Employee Stock Option (right to buy) | $60.07(3) | 11/09/2006 | D | 10,000 | (3) | 05/06/2015 | Common Stock | 10,000 | (3) | 0 | D | ||||
Employee Stock Option (right to buy) | $73.73(3) | 11/09/2006 | D | 10,000 | (3) | 05/05/2016 | Common Stock | 10,000 | (3) | 0 | D |
Explanation of Responses: |
1. Each share of issuer common stock was disposed of pursuant to the Agreement and Plan of Merger between Thermo Electron Corporation ("Thermo Electron"), Trumpet Merger Corporation and the issuer (the "Merger Agreement") in exchange for 2.0 share of common stock of the surviving entity, Thermo Fisher Scientific ("Thermo Fisher"), having a market value of $43.37 per share on November 9, 2006, the effective date of the merger. |
2. Each Restricted Stock Unit accrued under the issuer's 2005 Equity and Incentive Plan is the economic equivalent of one share of issuer common stock. The Restricted Stock Units were settled pursuant to the Merger Agreement for two shares of Thermo Fisher common stock on the effective date of the merger. |
3. This option (the "Original Option") was assumed by Thermo Fisher under the Merger Agreement and replaced with an option to purchase shares of Thermo Fisher common stock ("Substitute Option"). Under the Substitute Option: the number of option shares will equal the number of option shares under the Original Option, times the Exchange Ratio; and the exercise price will equal the exercise price under the Original Option, divided by the Exchange Ratio. The Exchange Ratio is 2.0. |
/s/ Scott M. Sperling | 11/10/2006 | |
** 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 4 (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. |