-----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, QSbAeLbaD9ixAQp7YRr+ua5HcaoCy5BzVAmtK9UQ4k5KX3X+Ht1RQnqm5pK3YOk3 h5j1gvtjtw+v7rIS9wVPvw== 0001242661-04-000035.txt : 20040708 0001242661-04-000035.hdr.sgml : 20040708 20040708100508 ACCESSION NUMBER: 0001242661-04-000035 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040706 FILED AS OF DATE: 20040708 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DUCHENE TODD M CENTRAL INDEX KEY: 0001248745 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-10920 FILM NUMBER: 04905289 BUSINESS ADDRESS: STREET 1: FISHER SCIENTIFIC INTERNATIONAL INC STREET 2: LIBERTY LANE CITY: HAMPTON STATE: NH ZIP: 03842 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 4 1 c0001248745d20040708f4f.xml PRIMARY DOCUMENT X0202 4 2004-07-06 0 0000880430 FISHER SCIENTIFIC INTERNATIONAL INC FSH 0001248745 DUCHENE TODD M LIBERTY LANE HAMPTON NH 03842 0 1 0 0 VP-General Counsel & Secretary Common Stock 2004-07-06 4 M 0 10000 24 A 10000 D Common Stock 2004-07-06 4 S 0 10000 55.877 D 0 D Stock Options (Right to buy) 24 2004-07-06 4 M 0 10000 0 D 2002-05-03 2011-05-03 Common Stock 10000 40000 D The exercise and sale of the option shares were accomplished pursuant to a 10b5-1(c) sales plan adopted on December 2, 2003. The sales price shown is the aggregate sales price for all option shares sold on July 6, 2004, actual sales denominations are as follows: 100 shares at $56.5500; 100 shares at $56.5100; 200 shares at $56.3100; 300 shares at $56.3000; 300 shares at $56.2500; 100 shares at $56.2400; 200 shares at $56.2000; 100 shares at $56.1900; 300 shares at $56.1800; 600 shares at $56.1700; 100 shares at $56.1200; 500 shares at $56.1100; 100 shares at $56.1000; 100 shares at $55.9200; 100 shares at $55.9100; 200 shares at $55.9000; 200 shares at $55.8900; 100 shares at $55.8700; 300 shares at $55.8600; 400 shares at $55.8400; 200 shares at $55.8300; 300 shares at $55.8200; 200 shares at $55.8100; 100 shares at $55.7900; 100 shares at $55.7800; 200 shares at $55.7700; 200 shares at $55.7600; 100 shares at $55.7500; 300 shares at $55.7300; 100 shares at $55.7200; 300 shares at $55.7100; 800 shares at $55.7000; 400 shares at $55.6900; 600 shares at $55.6800; 300 shares at $55.6700; 200 shares at $55. 6600; 200 shares at $55.6400; 300 shares at $55.6300; 100 shares at $55.5900; 600 shares at $55.5500. The shares underlying this stock option 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. Todd M DuChene 2004-07-08 -----END PRIVACY-ENHANCED MESSAGE-----