-----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, VHG/pVxh+YnFK1i9F993W2VdUyuHFWZrytM9KcZBBhq/kuP1lpVRYG85WgmpPj1H vIlDyhh6atde83kZJodKsA== 0001242661-04-000063.txt : 20041105 0001242661-04-000063.hdr.sgml : 20041105 20041105162311 ACCESSION NUMBER: 0001242661-04-000063 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041103 FILED AS OF DATE: 20041105 DATE AS OF CHANGE: 20041105 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: MONTRONE PAUL M CENTRAL INDEX KEY: 0001032940 STATE OF INCORPORATION: NH FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-10920 FILM NUMBER: 041123079 BUSINESS ADDRESS: STREET 1: LIBERTY LANE CITY: HAMPTON STATE: NH ZIP: 03842 BUSINESS PHONE: 6039292607 MAIL ADDRESS: STREET 1: LIBERTY LANE CITY: HAMPTON STATE: NH ZIP: 03842 4 1 c0001032940d20041105f4f.xml PRIMARY DOCUMENT X0202 4 2004-11-03 0 0000880430 FISHER SCIENTIFIC INTERNATIONAL INC FSH 0001032940 MONTRONE PAUL M LIBERTY LANE HAMPTON NH 03842 1 1 0 0 Chairman and CEO Common Stock 2004-11-03 4 M 0 50000 9.5 A 462896 D Common Stock 2004-11-03 4 S 0 50000 57.8723 D 412896 D Common Stock 362500 I Shares held by 1996 rabbi trust Common Stock 294243 I Shares held by 1998 rabbi trust Stock Options (Right to buy) 9.5 2004-11-03 4 M 0 50000 0 D 1999-01-21 2008-01-21 Common Stock 50000 1148626 D The exercise and sale of the option shares were accomplished pursuant to a 10b5-1(c) sales plan adopted on September 13, 2004. The sales price shown is the aggregate sales price for all option shares sold on November 3, 2004, actual denominations are as follows: 400 shares at $58.16; 100 shares at $58.09; 1,300 shares at $58.07; 800 shares at $58.01; 1,000 shares at $57.89; 700 shares at $58.08; 3,000 shares at $58.03; 3,100 shares at $57.99; 2,200 shares at $58.02; 3,100 shares at $58.05; 2,000 shares at $58.04; 100 shares at $57.95; 2,000 shares at $57.96; 300 shares at $57.94; 200 shares at $57.98; 2,000 shares at $57.91; 800 shares at $57.92; 1,300 shares at $58.06; 300 shares at $57.97; 200 shares at $57.85; 2,300 shares at $57.90; 200 shares at $57.78; 300 shares at $57.72; 100 shares at $57.74; 100 shares at $57.68; 800 shares at $57.70; 700 shares at $57.67; 1,700 shares at $57.69; 500 shares at $57.60; 500 shares at $57.52; 1,200 shares at $57.50; 900 shares at $57.49; 900 shares at $57.53; 2,300 shares at $57.64; 2,700 shares at $57.75; 1,100 shares at $57.62; 500 shares at $57.63; 3,200 shares at $57.66; 5,100 shares at $58.00. Options (right to buy) became exercisable in equal installments on each of the first five anniversaries of the date of grant. Todd M. DuChene 2004-11-05 -----END PRIVACY-ENHANCED MESSAGE-----