-----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, K1XdTbFPw+hBsZSs2b+BVw8F2ESZCuyTUTyMc0p2ugG4nJpBMldbYqAqd3LJgvC6 HcgIULNhMknrEzfipCI7ow== 0001225208-09-014416.txt : 20090624 0001225208-09-014416.hdr.sgml : 20090624 20090624160512 ACCESSION NUMBER: 0001225208-09-014416 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090622 FILED AS OF DATE: 20090624 DATE AS OF CHANGE: 20090624 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BOSTON SCIENTIFIC CORP CENTRAL INDEX KEY: 0000885725 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 042695240 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: ONE BOSTON SCIENTIFIC PL CITY: NATICK STATE: MA ZIP: 01760-1537 BUSINESS PHONE: 5086508000 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: NICHOLAS PETER M CENTRAL INDEX KEY: 0000901458 STATE OF INCORPORATION: MA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11083 FILM NUMBER: 09907561 MAIL ADDRESS: STREET 1: C/O BOSTON SCIENTIFIC CORPORATION STREET 2: ONE BOSTON SCIENTIFIC PLACE CITY: NATICK STATE: MA ZIP: 01760-1537 4 1 doc4.xml X0303 4 2009-06-22 0000885725 BOSTON SCIENTIFIC CORP BSX 0000901458 NICHOLAS PETER M ONE BOSTON SCIENTIFIC PLACE NATICK MA 01760-1537 1 Common Stock 2009-06-22 4 J 0 142070 0 D 11684205 D Common Stock 14879070 I By Ltd. Partnership Common Stock 2413088 I By Trust 2 Forward Sale Contract (obligation to sell) 0 2009-06-22 4 J 0 142070 0 D 2009-06-22 2009-06-22 Common Stock 142070 0 D On June 22, 2009, the reporting person settled a prepaid variable forward sale contract entered into on September 22, 2008 with an unaffiliated commercial bank. At the initiation of the contract, the bank paid $1,467,355.28 to the reporting person. The contract obligated the reporting person to deliver to the bank up to 142,070 shares of the Issuer's common stock depending on market prices at maturity. If the market price per share at maturity was equal to or less than the floor price of $12.79 per share, the reporting person would deliver 142,070 shares to the bank. If the market price per share at maturity was greater than the floor price, the reporting person would deliver a fewer number of shares. The market price per share on June 22, 2009 was less than $12.79. Accordingly, the reporting person transferred to the bank 142,070 shares of the Issuer's common stock. Shares held by trust of which the reporting person's spouse and brother are trustees and the reporting person's spouse and children are beneficiaries. /s/ Lawrence J. Knopf, Attorney-in-fact 2009-06-24 -----END PRIVACY-ENHANCED MESSAGE-----