-----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, S35h58/7HF8+4E3EqVL/zFeuZ1Db9jAqWzx0XXB4E0QB4pYfOFnxK9QVaODHKZYi tFg2TIdjDaII+8M3KHl9hA== 0001225208-09-021077.txt : 20091028 0001225208-09-021077.hdr.sgml : 20091028 20091028162956 ACCESSION NUMBER: 0001225208-09-021077 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20091026 FILED AS OF DATE: 20091028 DATE AS OF CHANGE: 20091028 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: 091142043 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 2009-10-26 0000885725 BOSTON SCIENTIFIC CORP BSX 0000901458 NICHOLAS PETER M ONE BOSTON SCIENTIFIC PLACE NATICK MA 01760-1537 1 Common Stock 2009-10-26 4 S 0 50000 8.4984 D 12234478 I By Ltd. Partnership Common Stock 10448610 D Common Stock 2413088 I By Trust 2 Forward Sale Contract (obligation to sell) 0 2009-10-26 4 J 0 50000 0 A 2010-10-26 2010-10-26 Common Stock 50000 50000 D The weighted average sales price is reported as stock sales were aggregated for reporting purposes. The per share transaction price ranged from $8.70 to $8.45. The reporting person will provide, upon request from an appropriate party, the per share sales volumes and prices. 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. Under the variable prepaid forward sale contract reported on this form, the reporting person will deliver to an unaffiliated commercial bank up to 50,000 shares of the Issuer's common stock depending on market prices at maturity on October 26, 2010. If the market price per share at maturity is equal to or less than the floor price of $8.5162 per share, the reporting person will deliver 50,000 shares to the bank. If the market price per share at maturity is greater than the floor price, the reporting person will deliver a fewer number of shares but not less than 35,700 shares. In exchange, the bank is obligated to pay $363,428.84 to the reporting person two business days after the date of the contract. At the option of the reporting person, the contract may be settled at maturity by delivering cash in lieu of stock. The reporting person pledged 50,000 shares of the Issuer's common stock to secure its obligations under the contract and retains dividends and voting rights in the shares during the term of the pledge. /s/ Lawrence J. Knopf, Attorney-in-fact 2009-10-28 -----END PRIVACY-ENHANCED MESSAGE-----