-----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, CuQqJTRqfLDTcmpZUkgWr6InvlLG0s+lLZQzkXwtK38Oqr222nRIXLkCJZvfCC8Y r+R71oigZhhwFLvuYE1j6A== 0001242661-05-000033.txt : 20050405 0001242661-05-000033.hdr.sgml : 20050405 20050405163654 ACCESSION NUMBER: 0001242661-05-000033 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050401 FILED AS OF DATE: 20050405 DATE AS OF CHANGE: 20050405 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: JELLINEK FRANK H JR CENTRAL INDEX KEY: 0001183723 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-10920 FILM NUMBER: 05734472 BUSINESS ADDRESS: STREET 1: C/O APOGENT TECHNOLOGIES STREET 2: 30 PENHALLOW STREET CITY: PORTSMOUTH STATE: NH ZIP: 03801 BUSINESS PHONE: 6034336131 4 1 c0001183723d20050405f4f.xml PRIMARY DOCUMENT X0202 4 2005-04-01 0 0000880430 FISHER SCIENTIFIC INTERNATIONAL INC FSH 0001183723 JELLINEK FRANK H JR LIBERTY LANE HAMPTON NH 03842 1 0 0 0 Common Stock 2005-04-01 4 M 0 15000 29.77 A 102132 D Common Stock 2005-04-01 4 S 0 15000 57.1107 D 87132 D Common Stock 2005-04-01 4 S 0 5000 57.172 D 82132 D Common Stock 850 I by 401 (k) Stock Options (Right to buy) 29.77 2005-04-01 4 M 0 15000 0 D 2004-08-02 2013-01-28 Common Stock 15000 18400 D The exercise and sale of the option shares and directly owned shares were accomplished pursuant to a 10b5-1(c) plan adopted on December 8, 2004. The sales price shown is the aggregate sales price for all option shares sold on April 1, 2005, actual sales denominations are as follows: 7,000 shares at $57.05; 4,000 shares at $57.15; 2,500 shares at $57.17; 1,500 shares at $57.19. The sales price shown is the aggregate sales price for 5,000 shares sold on April 1, 2005, actual sales denominations are as follows: 1,000 shares at $57.15; 2,500 shares at $57.17; 1,500 shares at $57.19. The shares underlying the option became fully vested and exercisable upon the merger of Apogent Technologies Inc. with and into Fox Merger Corporation, a wholly owned subsidiary of Fisher Scientific International Inc., on August 2, 2004. Carrie M. Kane 2005-04-05 -----END PRIVACY-ENHANCED MESSAGE-----