-----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, VEXDQvYcvKsZaCZjf9qo7/UJidEWU5/yx7uKeScu79eNDwhrKWuTYuCk7pqxToQk yAvely4B9cWY9pj/4fEyRg== 0001242661-04-000067.txt : 20041119 0001242661-04-000067.hdr.sgml : 20041119 20041119154407 ACCESSION NUMBER: 0001242661-04-000067 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041117 FILED AS OF DATE: 20041119 DATE AS OF CHANGE: 20041119 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: 041157898 BUSINESS ADDRESS: BUSINESS PHONE: 6039292607 MAIL ADDRESS: STREET 1: 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 c0001032940d20041119f4f.xml PRIMARY DOCUMENT X0202 4 2004-11-17 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 2004-11-17 4 M 0 50000 9.5 A 462896 D Common Stock 2004-11-17 4 S 0 50000 54.316 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 2004-11-17 4 M 0 50000 0 D 1999-01-21 2008-01-21 Common Stock 50000 1048626 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 17, 2004, actual denominations are as follows: 1,100 shares at $53.59; 1,500 shares at $53.64; 400 shares at $53.65; 300 shares at $53.60; 1,000 shares at $53.58; 200 shares at $53.71; 1,200 shares at $53.68; 800 shares at $53.72; 400 shares at $53.89; 300 shares at $53.91; 100 shares at $53.85; 100 shares at $53.84; 300 shares at $53.83; 500 shares at $53.90; 200 shares at $53.73; 600 shares at $53.67; 1,200 shares at $53.66; 1,100 shares at $53.76; 700 shares at $53.79; 1,200 shares at $53.77; 700 shares at $53.78; 1,500 shares at $53.75; 600 shares at $53.74; 3,500 shares at $53.70; 900 shares at $53.80; 200 shares at $54.00; 500 shares at $54.05; 200 shares at $54.07; 500 shares at $54.20; 100 shares at $54.29; 400 shares at $54.31; 400 shares at $54.26; 600 shares at $54.34; 700 shares at $54.39; 1,200 shares at $54.30; 100 shares at $54.33; 300 shares at $54.35; 1,500 shares at $54.28; 90 0 shares at $54.60; 300 shares at $54.66; 400 shares at $54.68; 1,700 shares at $54.69; 600 shares at $54.71; 300 shares at $54.70; 300 shares at $54.75; 400 shares at $54.72; 600 shares at $54.77; 300 shares at $54.84; 400 shares at $54.83; 600 shares at $54.81; 800 shares at $54.79; 700 shares at $54.78; 400 shares at $54.85; 500 shares at $55.01; 1,000 shares at $54.98; 1,100 shares at $54.95; 300 shares at $54.91; 1,100 shares at $54.94; 100 shares at $54.92; 1,400 shares at $54.96; 2,500 shares at $54.93; 2,500 shares at $54.86; 1,700 shares at $54.90; 500 shares at $55.00; 1,500 shares at $55.10. Options (right to buy) became exercisable in equal installments on each of the first five anniversaries of the date of grant. Todd M. DuChene 2004-11-19 -----END PRIVACY-ENHANCED MESSAGE-----