-----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, NeHTyEUQ5NIJ/6hURQAZSQpTupqLSPPgyybFVvO/NED3mzijnKzLoNLBd3K6Cks3 Wgx4BhF0jDP3Zv65d9tRaA== 0001225208-09-020190.txt : 20091005 0001225208-09-020190.hdr.sgml : 20091005 20091005163228 ACCESSION NUMBER: 0001225208-09-020190 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20091001 FILED AS OF DATE: 20091005 DATE AS OF CHANGE: 20091005 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: 091105917 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 2009-10-01 0000885725 BOSTON SCIENTIFIC CORP BSX 0000901458 NICHOLAS PETER M ONE BOSTON SCIENTIFIC PLACE NATICK MA 01760-1537 1 Common Stock 2009-10-01 4 J 0 197975 0 D 13288959 I By Ltd. Partnership Common Stock 11048610 D Common Stock 2413088 I By Trust 2 Forward Sale Contract (obligation to sell) 0 2009-10-01 4 J 0 200000 0 D 2009-10-01 2009-10-01 Common Stock 200000 0 I By Ltd. Partnership On October 1, 2009, a family limited partnership of which the reporting person is a general and limited partner, Promerica, L.P., settled a prepaid variable forward sale contract originally entered into on October 1, 2008 with an unaffiliated commercial bank. At the initiation of the contract, the bank paid $1,600,386.06 to Promerica. The forward sale contract obligated Promerica to deliver to the bank at maturity up to 200,000 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 $10.15 per share, Promerica would deliver 200,000 shares to the bank. If the market price per share at maturity was greater than the floor price, Promerica would deliver a fewer number of shares equal to the number of shares pledged multiplied by the floor price and divided by the maturity price. The market price per share on October 1, 2009 was $10.25. Accordingly, Promerica transferred to the bank 197,975 shares of the Issuer's common stock and the bank returned 2,025 of the pledged shares to Promerica. Shares held by a 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 2009-10-05 -----END PRIVACY-ENHANCED MESSAGE-----