-----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, PY41UfoigSQSMDxrg/7YAKB7QQzdS58LMX/x33ZZ8021XpaXxO7robFejF9ozdk6 EqroZNKXNiqh8enro6qhHQ== 0001242661-04-000043.txt : 20040903 0001242661-04-000043.hdr.sgml : 20040903 20040903140316 ACCESSION NUMBER: 0001242661-04-000043 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040901 FILED AS OF DATE: 20040903 DATE AS OF CHANGE: 20040903 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JELLINEK FRANK H JR CENTRAL INDEX KEY: 0001183723 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-10920 FILM NUMBER: 041016332 BUSINESS ADDRESS: STREET 1: C/O APOGENT TECHNOLOGIES STREET 2: 30 PENHALLOW STREET CITY: PORTSMOUTH STATE: NH ZIP: 03801 BUSINESS PHONE: 6034336131 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 c0001183723d20040903f4f.xml PRIMARY DOCUMENT X0202 4 2004-09-01 0 0000880430 FISHER SCIENTIFIC INTERNATIONAL INC FSH 0001183723 JELLINEK FRANK H JR LIBERTY LANE HAMPTON NH 03842 1 0 0 0 Common Stock 2004-09-01 4 M 0 22400 35.1 A 124532 D Common Stock 2004-09-01 4 S 0 22400 56.5058 D 102132 D Common Stock 850 I by 401 (k) Stock Options (Right to buy) 35.1 2004-09-01 4 M 0 22400 0 D 2004-08-02 2008-04-27 Common Stock 22400 321972 D The exercise and sale of the option shares were accomplished pursuant to a 10b5-1(c) plan adopted on November 20, 2003. Sales price shown is the aggregate sales price for all shares sold on September 1, 2004, actual sales denominations are as follows: 20,400 shares at $56.50; 500 shares at $56.51; 500 shares at $56.56; 600 shares at $56.59; 400 shares at $56.60. The shares underlying the option became fully vested and exercisable upon the merger of Apogent Technologies Inc. with and into Fox Merger Corporation, a wholly owned subsidiary of Fisher Scientific International Inc., on August 2, 2004. Todd M. DuChene 2004-09-03 -----END PRIVACY-ENHANCED MESSAGE-----