-----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, EGb5XI2KJWKZQey7AbQrCguxJa5AM/ur0bhJcVN1MSaNqJ7ZoZoULeFPQyO+d+1D CYTJk9f+3Qk5Sls9rXQYZA== 0001242661-05-000077.txt : 20050617 0001242661-05-000077.hdr.sgml : 20050617 20050617162017 ACCESSION NUMBER: 0001242661-05-000077 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050615 FILED AS OF DATE: 20050617 DATE AS OF CHANGE: 20050617 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DELLA PENTA DAVID T CENTRAL INDEX KEY: 0001248746 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-10920 FILM NUMBER: 05903472 BUSINESS ADDRESS: STREET 1: FISHER SCIENTIFIC INTERNATIONAL INC STREET 2: 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 c0001248746d20050617f4f.xml PRIMARY DOCUMENT X0202 4 2005-06-15 0 0000880430 FISHER SCIENTIFIC INTERNATIONAL INC FSH 0001248746 DELLA PENTA DAVID T LIBERTY LANE HAMPTON NH 03842 0 1 0 0 PRES\CHIEF OPER. OFFICER Common Stock 2005-06-15 4 S 0 37193 64.0788 D 37194 D Common Stock 2005-06-16 4 M 0 50000 24 A 87194 D Common Stock 2005-06-16 4 S 0 50000 63.7552 D 37194 D Stock Options (Right to buy) 24 2005-06-16 4 M 0 50000 0 D 2002-05-03 2011-05-03 Common Stock 50000 100000 D The sale of shares was accomplished pursuant to a 10b5-1(c) sales plan adopted on December 8, 2004 (amended on 5-12-05). The sales price shown is the aggregate sales price for the shares sold on June 15, 2005, actual denominations are as follows: 1,000 shares at $63.80; 2,500 shares at $63.81; 1,000 shares at $63.82; 600 shares at $63.84; 2,400 shares at $63.85; 500 shares at $63.88; 100 shares at $64.00; 1,200 shares at $64.01; 100 shares at $64.04; 800 shares at $64.05; 800 shares at $64.06; 400 shares at $64.07; 2,500 share at $64.08; 400 shares at $64.09; 3,200 shares at $64.10; 2,800 shares at $64.11; 1,500 shares at $64.12; 700 shares at $64.13; 1,700 shares at $64.15; 2,000 shares at 64.16; 600 shares at $64.17; 5,993 shares at $64.20; 100 shares at $64.21; 300 shares at $64.24; 1,700 shares at $64.25; 1,000 shares at $64.27; 1,200 shares at $64.29; 100 shares at $64.32. The exercise and sale of the option shares were accomplished pursuant to a 10b5-1(c) plan adopted on December 8th, 2004 (amended 5-12-05). The sales price shown is the aggregate sales price for all option shares sold on June 16, 2005, actual denominations are as follows: 600 shares at $63.35; 1,000 shares at $63.37; 2,200 shares at $63.38; 200 shares at $63.41; 100 shares at $63.42; 100 shares at $63.43; 400 shares at $63.49; 300 shares at $63.50; 100 shares at $63.51; 2,600 shares at $63.52; 2,400 shares at $63.54; 500 shares at $63.61; 1,100 shares at $63.62; 500 shares at $63.63; 900 shares at $63.64; 2,800 shares at $63.65; 100 shares at $63.66; 600 shares at $63.67; 300 shares at $63.68; 300 shares at $63.69; 3,100 shares at $63.70; 900 shares at $63.71; 300 shares at $63.72; 1,200 shares at $63.73; 300 shares at $63.74; 400 shares at $63.75; 100 shares at $63.76; 1,000 shares at $63.78; 300 shares at $63.80; 500 shares at $63.81; 500 shares at $63.82; 900 shares at $63.83; 1,300 shares at $63.84; 2,400 shares at $63.85; 3,200 shares at $63.87; 800 shares at $63.88; 1,300 shares at $63.89; 700 shares at $63.90; 10 0 shares at $63.91; 800 shares at $63.92; 500 shares at $63.93; 400 shares at $63.94; 8,300 shares at $63.95; 2,100 shares at $63.97; 900 shares at $63.98; 600 shares at $63.99. The shares underlying this stock option become vested and exercisable in three installments, as follows: 33.33% on the first anniversary of the award; 33.33% on the second anniversary of the award; and 33.33% on the third anniversary of the award. Carrie M. Kane 2005-06-17 -----END PRIVACY-ENHANCED MESSAGE-----