-----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, R7iHtut5ejQguJlb4ujPy9y2PmU6XhqXLwUM6lO2uRM3h5L2SG1p+fNJ5NzNBbzQ YLWIO7MfTzgkUZzL3xbrvA== 0001242661-05-000146.txt : 20051205 0001242661-05-000146.hdr.sgml : 20051205 20051205171744 ACCESSION NUMBER: 0001242661-05-000146 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20051201 FILED AS OF DATE: 20051205 DATE AS OF CHANGE: 20051205 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: 051245011 BUSINESS ADDRESS: STREET 1: C/O APOGENT TECHNOLOGIES STREET 2: 30 PENHALLOW STREET CITY: PORTSMOUTH STATE: NH ZIP: 03801 BUSINESS PHONE: 6034336131 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 c0001183723d20051205f4f.xml PRIMARY DOCUMENT X0202 4 2005-12-01 0 0000880430 FISHER SCIENTIFIC INTERNATIONAL INC FSH 0001183723 JELLINEK FRANK H JR LIBERTY LANE HAMPTON NH 03842 1 0 0 0 Common Stock 2005-12-01 4 M 0 15000 35.1 A 62265 D Common Stock 2005-12-01 4 S 0 15000 64.3463 D 47265 D Common Stock 2005-12-01 4 S 0 5000 64.48 D 42265 D Common Stock 850 I by 401 (k) Stock Options (Right to buy) 35.1 2005-12-01 4 M 0 15000 0 D 2004-08-02 2008-04-27 Common Stock 15000 0 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 December 1, 2005, actual sales denominations are as follows: 1,300 shares at $64.04; 200 shares at $64.05; 100 shares at $64.06; 200 shares at $64.07; 400 shares at $64.08; 500 shares at $64.09; 100 shares at $64.10; 600 shares at $64.12; 200 shares at $64.14; 100 shares at $64.15; 100 shares at $64.20; 100 shares at $64.21; 700 share at $64.26; 1,900 shares at $64.35; 700 shares at $64.37; 200 shares at $64.44; 100 shares at $64.45; 600 shares at $64.46; 5,700 shares at $64.48; 300 shares at $64.49; 400 shares at $64.50; 300 shares at $64.54; 200 shares at $64.55; 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 2005-12-05 -----END PRIVACY-ENHANCED MESSAGE-----