0001225208-12-009656.txt : 20120411 0001225208-12-009656.hdr.sgml : 20120411 20120411165934 ACCESSION NUMBER: 0001225208-12-009656 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120409 FILED AS OF DATE: 20120411 DATE AS OF CHANGE: 20120411 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: 508-650-8000 MAIL ADDRESS: STREET 1: ONE BOSTON SCIENTIFIC PL CITY: NATICK STATE: MA ZIP: 01760-1537 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: 12754714 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 X0305 4 2012-04-09 0000885725 BOSTON SCIENTIFIC CORP BSX 0000901458 NICHOLAS PETER M ONE BOSTON SCIENTIFIC PLACE NATICK MA 01760-1537 1 Common Stock 2012-04-09 4 J 0 237240.0000 0.0000 D 8134873.0000 D Common Stock 2012-04-09 4 J 0 18600.0000 0.0000 D 3456621.0000 I By Ltd. Partnership Common Stock 2149788.0000 I By Trust 2 Forward Sale Contract (obligation to sell) 2012-04-09 4 J 0 237240.0000 0.0000 D 2012-04-09 2012-04-09 Common Stock 237240.0000 0.0000 D Forward Sale Contract (obligation to sell) 2012-04-09 4 J 0 18600.0000 0.0000 D 2012-04-09 2012-04-09 Common Stock 18600.0000 0.0000 I By Ltd. Partnership On March 1, 2010, the reporting person entered into a trading plan intended to comply with the requirements of Rule 10b5-1 with an unaffiliated commercial bank to execute a series of variable prepaid forward sale contracts. On April 9, 2012, the reporting person settled a prepaid variable contract originally entered into on April 9, 2010 through the delivery of 237,240 shares of the Issuer's common stock. At the initiation of the contract, the bank paid $1,166,085.39 to the reporting person. See also footnote 2. In accordance with the variable prepaid forward sale contract, when settled in shares the number of shares to be delivered to the bank at maturity depends on the market price per share at maturity, but may not exceed 237,240 shares. If the market price per share at maturity was equal to or less than the floor price of $6.9131 per share, the reporting person would deliver 237,240 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 at maturity on April 9, 2012 was $5.84. Accordingly, the reporting person transferred 237,240 shares of the Issuer's common stock to the bank. On March 1, 2010, a family limited partnership of which the reporting person is a general and limited partner, Promerica L.P. ("Promerica"), entered into a trading plan intended to comply with the requirements of Rule 10b5-1 with an unaffiliated commercial bank to execute a series of variable prepaid forward sale contracts. On April 9, 2012, Promerica settled a prepaid variable contract originally entered into on April 6, 2010 through the delivery of 18,600 shares of the Issuer's common stock. At the initiation of the contract, the bank paid $94,652.95 to Promerica. See also footnote 4. In accordance with the variable prepaid forward sale contract, when settled in shares the number of shares to be delivered to the bank at maturity depends on the market price per share at maturity, but may not exceed 18,600 shares. If the market price per share at maturity was equal to or less than the floor price of $7.1503 per share, Promerica would deliver 18,600 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. The market price per share at maturity on April 9, 2012 was $5.84. Accordingly, Promerica transferred 18,600 shares of the Issuer's common stock to the bank. 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/ Conor Kilroy, Attorney-in-Fact 2012-04-11