-----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, N4LelY0MIyHvXpFhjaf/xK9ro5vVMc4lzWGnUM4+hcO3mIumEC1AWpmfID0l7NO7 YIs6iuQA9OSOu9Yr+afbkw== 0001242661-04-000077.txt : 20041210 0001242661-04-000077.hdr.sgml : 20041210 20041210181610 ACCESSION NUMBER: 0001242661-04-000077 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041208 FILED AS OF DATE: 20041210 DATE AS OF CHANGE: 20041210 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: 041197472 BUSINESS ADDRESS: BUSINESS PHONE: 6039292607 MAIL ADDRESS: STREET 1: LIBERTY LANE CITY: HAMPTON STATE: NH ZIP: 03842 4 1 c0001032940d20041210f4f.xml PRIMARY DOCUMENT X0202 4 2004-12-08 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 2004-12-08 4 M 0 50000 9.5 A 462896 D Common Stock 2004-12-08 4 S 0 50000 57.659 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 2004-12-08 4 M 0 50000 0 D 1999-01-21 2008-01-21 Common Stock 50000 898626 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 December 8, 2004, actual denominations are as follows: 1,300 shares at $57.70; 1,000 shares at $57.83; 400 shares at $57.84; 200 shares at $57.85; 700 shares at $58.07; 1,400 shares at $58.04; 800 shares at $58.08; 1,800 shares at $58.03; 900 shares at $57.99; 600 shares at $57.96; 1,200 shares at $58.01; 100 shares $58.05; 400 shares at $58.02; 1,600 shares at $57.97; 200 shares at $57.95; 200 shares at $57.93; 200 shares at $57.94; 500 shares at $57.90; 600 shares at $57.75; 800 shares at $57.74; 300 shares at $57.57; 2,600 shares at $57.56; 2,100 shares at $57.63; 300 shares at $57.64; 700 shares at $57.72; 1,100 shares at $57.55; 900 shares at $57.68; 600 shares at $57.71; 2,800 shares at $57.67; 800 shares at $57.61; 200 shares at $57.59; 1,900 shares at $57.60; 1,200 shares at $57.52; 4,100 shares at $57.54; 1,000 share at $57.65; 1,500 shares at $57.66; 3,000 shares at $57.62; 2,700 shares at $57 .50; 1,200 shares at $57.49; 1,500 shares at $57.45; 300 shares at $57.25; 700 shares at $57.34; 1,100 shares at $57.30; 2,500 shares at $57.19. Options (right to buy) became exercisable in equal installments on each of the first five anniversaries of the date of grant. Todd M. DuChene 2004-12-10 -----END PRIVACY-ENHANCED MESSAGE-----