-----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, KAvKNKx8ogmOss6GuP28it72eFufcwgbP+h2iKPyaYPlpx/IVPylhUouykhdpJKz 27zXkv8c6b3GlF7OGTfVCw== 0001242661-05-000138.txt : 20051118 0001242661-05-000138.hdr.sgml : 20051118 20051118161832 ACCESSION NUMBER: 0001242661-05-000138 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20051116 FILED AS OF DATE: 20051118 DATE AS OF CHANGE: 20051118 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: 051215480 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 c0001032940d20051118f4f.xml PRIMARY DOCUMENT X0202 4 2005-11-16 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 2005-11-16 4 M 0 50000 9.5 A 462896 D Common Stock 2005-11-16 4 S 0 50000 64.5058 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 2005-11-16 4 M 0 50000 0 D 1999-01-21 2008-01-21 Common Stock 50000 348626 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 November 16, 2005, actual denominations are as follows: 1,700 shares at $64.16; 2,000 shares at $64.19; 300 shares at $64.20; 2,000 shares at $64.23; 1,400 shares at $64.28; 500 shares at $64.30; 1,700 shares at $64.31; 1,400 shares at $64.32; 1,600 shares at $64.33; 2,400 shares at $64.34; 2,200 shares at $64.35; 2,700 shares at $64.36; 1,000 shares at $64.37; 2,800 shares at $64.38; 3,100 shares at $64.39; 3,400 shares at $64.40; 2,100 shares at $64.42; 1,700 shares at $64.44; 2,100 shares at $64.46; 300 shares $64.47; 2,000 shares at $64.51; 1,000 shares at $64.59; 300 shares at $64.77; 100 shares at $64.78; 1,700 shares at $64.83; 500 shares at $64.92; 700 shares at $64.93; 400 shares at $64.94; 300 shares at $64.97; 2,100 shares at $65.00; 100 shares at $65.01; 1,000 shares at $65.15; 1,000 shares at $65.24; 2,300 shares at $65.28; 100 shares at $65.32. Options (right to buy) became exercisable in equal installments on each of the first five anniversaries of the date of grant. Carrie M. Kane 2005-11-18 -----END PRIVACY-ENHANCED MESSAGE-----