-----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, EOcyKwwlX7vexE/tKq2M//Vtpsjh0XS6Hl19UCbwMl4qUYx6GoAuqxwBcGA8zQQ9 H9wtAfWHAoIRGVgD9HcPVA== 0001242661-06-000022.txt : 20060202 0001242661-06-000022.hdr.sgml : 20060202 20060202163143 ACCESSION NUMBER: 0001242661-06-000022 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20060131 FILED AS OF DATE: 20060202 DATE AS OF CHANGE: 20060202 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: 06574026 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 c0001032940d20060202f4f.xml PRIMARY DOCUMENT X0202 4 2006-01-31 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 2006-01-31 4 A 0 32310 0 A 538506 D Common Stock 362500 I Shares held by 1996 rabbi trust Common Stock 294243 I Shares held by 1998 rabbi trust Reporting Person has elected to give up a percentage of his cash compensation for 2006 (including base salary and bonus) in exchange for a grant of Restricted Stock Units pursuant to the Company's 2005 Equity and Incentive Plan. Shares of common stock become vested and deliverable upon the attainment of certain performance goals. Attainment of the performance goals will be determined by the Compensation Committee, in its sole discretion. Such determination shall be made no later than March 15, 2009. Carrie M. Kane 2006-02-02 -----END PRIVACY-ENHANCED MESSAGE-----