-----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, BtKf2d98B6TCqOnrnt8h7W+dMz/QlZVS8iO7s1ZdioOxCCFogoYdC2SBd94ZZMoE AvNb4xxvNw65Dg02WtDUxw== 0001242661-05-000132.txt : 20051027 0001242661-05-000132.hdr.sgml : 20051027 20051027164307 ACCESSION NUMBER: 0001242661-05-000132 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20051025 FILED AS OF DATE: 20051027 DATE AS OF CHANGE: 20051027 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CLARK KEVIN P CENTRAL INDEX KEY: 0001248750 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-10920 FILM NUMBER: 051160491 BUSINESS 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 c0001248750d20051027f4s1f.xml PRIMARY DOCUMENT X0202 4 2005-10-25 0 0000880430 FISHER SCIENTIFIC INTERNATIONAL INC FSH 0001248750 CLARK KEVIN P LIBERTY LANE HAMPTON NH 03842 0 1 0 0 Vice President & CFO Common Stock 2005-10-25 4 M 0 15743 24 A 44213 D Common Stock 2005-10-25 4 S 0 15743 58.5159 D 28470 D Common Stock 3812 I Shares held in Rabbi Trust Stock Options (Right to buy) 24 2005-10-25 4 M 0 15743 0 D 2002-05-03 2011-05-03 Common Stock 15743 54650 D The exercise and sale of the option shares were accomplished pursuant to a 10b5-1(c) plan adopted on December 8th, 2004. The sales price shown is the aggregate sales price for all the option shares sold on October 25 2005 actual denominations are as follows: 1,543 shares at $58.09; 1,000 shares at $58.10; 100 shares at $58.13; 200 shares at $58.14; 700 shares at $58.15; 1,000 shares at $58.16; 1,000 shares at $58.17; 2,000 shares at $58.45; 1,000 shares at $58.58; 600 shares at $58.67; 400 shares at $58.68; 1,300 shares at $58.75; 700 shares at $58.76; 700 shares at $58.79; 1,000 shares at $58.81; 300 shares at $58.82; 900 shares at $58.85; 100 shares at $59.01; 100 shares at $59.03; 300 shares at $59.04; 800 shares at $59.07. 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 2005-10-27 -----END PRIVACY-ENHANCED MESSAGE-----