-----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, P7KqaxmB1HnnO6ONqPrixv6v4BTVCAY1DdsTqVCwNh3QGoXw3jOSFtsupiSWg3AN kTJANKt6Fw8jerE397skTg== 0001242661-04-000085.txt : 20041217 0001242661-04-000085.hdr.sgml : 20041217 20041217130504 ACCESSION NUMBER: 0001242661-04-000085 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041215 FILED AS OF DATE: 20041217 DATE AS OF CHANGE: 20041217 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: 041210651 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 c0001032940d20041217f4s1f.xml PRIMARY DOCUMENT X0202 4 2004-12-15 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 2004-12-15 4 M 0 50000 9.5 A 462896 D Common Stock 2004-12-15 4 S 0 50000 59.7891 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 2004-12-15 4 M 0 50000 0 D 1999-01-21 2008-01-21 Common Stock 50000 848626 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 15, 2004, actual denominations are as follows: 400 shares at $60.01; 100 shares at $59.97; 1,000 shares at $60.03; 900 shares at $59.92; 1,600 shares at $59.88; 800 shares at $59.89; 600 shares at $59.87; 100 shares at $59.72; 700 shares at $59.48; 800 shares at $59.49; 100 share at $59.46; 1,300 shares at $59.47; 600 shares at $59.50; 1,500 shares at $59.51; 1,400 shares at $59.55; 2,100 shares at $59.56; 300 shares at $59.57; 1,400 shares at $59.53; 200 shares at $59.58; 500 shares at $59.61; 4,900 shares at $59.60; 100 shares at $59.70; 100 shares at $59.71; 200 shares at $59.76; 1,100 shares at $59.79; 500 shares at $59.75; 900 shares at $59.78; 600 shares at $59.80; 200 shares $59.82; 200 shares at $59.83; 300 shares at $59.91; 800 shares at $59.90; 1,200 shares at $60.02; 600 shares at $60.04; 500 shares at $60.06; 3,200 shares at $60.00; 500 shares at $59.99; 100 shares at $59.95; 700 sh ares $59.98; 2,600 shares at $59.96; 500 shares at $59.93; 200 shares at $59.94; 900 shares at $59.77; 3,000 shares at $59.66; 700 shares at $59.63; 5,100 shares at $59.85; 3,400 shares at $60.08; 400 shares at $60.09; 100 shares at $60.10. Options (right to buy) became exercisable in equal installments on each of the first five anniversaries of the date of grant. Todd M. DuChene 2004-12-17 -----END PRIVACY-ENHANCED MESSAGE-----