-----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, JFOwUBanfwR/R5yt1xBe9sWcADyDevfURo43ddDoDc8rdbFU1Byzyl6XGuu/QYJj q6L4Pbi8TI3KHzVCWxVzxA== 0001242661-04-000045.txt : 20040907 0001242661-04-000045.hdr.sgml : 20040906 20040907163352 ACCESSION NUMBER: 0001242661-04-000045 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040907 FILED AS OF DATE: 20040907 DATE AS OF CHANGE: 20040907 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: 041018932 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 c0001248745d20040907f4f.xml PRIMARY DOCUMENT X0202 4 2004-09-07 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 2004-09-07 4 M 0 10000 24 A 10000 D Common Stock 2004-09-07 4 S 0 10000 58.0225 D 0 D Stock Options (Right to buy) 24 2004-09-07 4 M 0 10000 0 D 2002-05-03 2011-05-03 Common Stock 10000 20000 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 September 7, 2004, actual denominations are as follows: 600 shares at $58.2800; 200 shares at $58.2600; 100 shares at $58.2500; 100 shares at $58.2400; 100 shares at $58.2300; 100 shares at $58.2000; 400 shares at $58.1800; 100 shares at $58.1700; 100 shares at $58.1600; 300 shares at $58.1500; 100 shares at $58.1400; 300 shares at $58.1300; 100 shares at $58.1200; 100 shares at $58.1100; 300 shares at $58.0900; 400 shares at $58.0800; 300 shares $58.0600; 200 shares at $58.0400; 200 shares at $58.0000; 600 shares at $57.9900; 500 shares at $57.9800; 400 shares at $57.9700; 500 shares at $57.9600; 200 shares at $57.9500; 300 shares at $57.9400; 200 shares at $57.9300; 1,800 shares at $57.9100; 1,200 shares at $57.9000; 100 shares at $57.8900; 100 shares at $57.8500. 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 2004-09-07 -----END PRIVACY-ENHANCED MESSAGE-----