-----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, P4icHdR/hHdDq+h4Ph+gDhdm95gTdiYaokBehUSeEH4QwZff/Xx5pzoOptnOSwiY J9Jc2AwK80Jz1WFrtRGNtg== 0001242661-05-000079.txt : 20050617 0001242661-05-000079.hdr.sgml : 20050617 20050617163723 ACCESSION NUMBER: 0001242661-05-000079 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: 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: 05903576 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 c0001032940d20050617f4f.xml PRIMARY DOCUMENT X0202 4 2005-06-15 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 2005-06-15 4 M 0 50000 9.5 A 462896 D Common Stock 2005-06-15 4 S 0 50000 63.6167 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 2005-06-15 4 M 0 50000 0 D 1999-01-21 2008-01-21 Common Stock 50000 598626 D The exercise and sale of the option shares were accomplished pursuant to a 10b5-1(c) sales plan adopted on March 7, 2005. The sales price shown is the aggregate sales price for all option shares sold on June 15, 2005, actual denominations are as follows: 500 shares at $63.30; 300 shares at $63.31; 300 shares at $63.33; 900 shares at $63.34; 700 shares at $63.36; 700 shares at $63.37; 100 shares at $63.38; 200 shares at $63.39; 1,100 shares at $63.40; 1,200 shares at $63.41; 1,200 shares at $63.42; 300 shares at $63.43; 2,100 shares at $63.44; 800 shares at $63.45; 1,600 shares at $63.46; 800 shares at $63.47; 1,300 shares at $63.48; 3,700 shares at $63.49; 5,000 shares at $63.50; 1,500 shares at $63.51; 1,500 shares at $63.52; 1,300 shares at $63.53; 500 shares at $63.54; 1,300 shares at $63.55; 500 shares at $63.56; 900 shares at $63.57; 1,400 shares at $63.58; 1,500 shares at $63.59; 1,300 shares at $63.60; 400 shares at $63.61; 1,000 shares at $63.62; 500 shares at $63.63; 300 shares at $63.64; 900 shares at $63.65; 300 shares at $63.67; 100 shares at $63.68; 400 shares at $63.69; 400 shares at $63. 70; 100 shares at $63.76; 500 shares at $63.77; 600 shares at $63.79; 400 shares at $63.80; 500 shares at $63.81; 300 shares at $63.82; 100 shares at $63.83; 700 shares at $63.84; 300 shares at $63.86; 300 shares at $63.95; 100 shares at $63.98; 400 shares at $64.02; 200 shares at $64.04; 600 shares at $64.05; 1,100 shares at $64.06; 100 shares at $64.07; 700 shares at $64.09; 400 shares at $64.10; 500 shares at $64.11; 100 shares at $64.12; 400 shares at $64.13; 100 shares at $64.14; 200 shares at $64.15; 1,200 shares at $64.16; 300 shares at $64.17; 400 shares at $64.21; 200 shares at $64.25; 400 shares at $64.28. Options (right to buy) became exercisable in equal installments on each of the first five anniversaries of the date of grant. Carrie M. Kane 2005-06-17 -----END PRIVACY-ENHANCED MESSAGE-----