-----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, GgwodDOtBCGB5G06WF3OFf2ppalT9fEoTFv8z9aHtFwHC8M0kgPHkwSEp78qRGWl e+Lg6tC8QsOsDnqtwHNucA== 0000009892-03-000204.txt : 20031117 0000009892-03-000204.hdr.sgml : 20031117 20031117175018 ACCESSION NUMBER: 0000009892-03-000204 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031113 FILED AS OF DATE: 20031117 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GROM CHARLES P CENTRAL INDEX KEY: 0001205053 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-06926 FILM NUMBER: 031008938 BUSINESS ADDRESS: STREET 1: C/O C R BARD INC STREET 2: 730 CENTRAL AVENUE CITY: MURRAY HILL STATE: NJ ZIP: 07974 BUSINESS PHONE: 908 277 8000 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BARD C R INC /NJ/ CENTRAL INDEX KEY: 0000009892 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 221454160 STATE OF INCORPORATION: NJ FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 730 CENTRAL AVE CITY: MURRAY HILL STATE: NJ ZIP: 07974 BUSINESS PHONE: 9082778000 MAIL ADDRESS: STREET 1: 730 CENTRAL AVENUE CITY: MURRAY HILL STATE: NJ ZIP: 07974 4 1 primary_doc.xml PRIMARY DOCUMENT X0201 4 2003-11-13 0 0000009892 BARD C R INC /NJ/ BCR 0001205053 GROM CHARLES P 730 CENTRAL AVENUE MURRAY HILL NJ 07974 0 1 0 0 Vice President and Controller Common Stock 2003-11-13 4 M 0 2348 32.8125 A 8362 D Common Stock 2003-11-13 4 F 0 440 77.46 D 7922 D Common Stock 2003-11-17 4 S 0 1908 76.847 D 6014 D Option (Right to Buy) 32.8125 2003-11-17 4 M 0 2348 0 D 2006-07-10 Common Stock 2348 0 D Reporting person also owns indirectly 22.66 shares held by son which the reporting person disclaims beneficial ownership and 32 shares in the Company's 401(k) Plan as of August 29, 2003. Options granted under 1993 Long Term Incentive Plan of C. R. Bard, Inc. Also granted in tandem with these options are Limited Stock Appreciation Rights which can only be exercised upon a Change of Control as defined in the Plan. Under Plan no exercise within 12 mos. then exercisable in installments: 24% after 12 mos., 50% after 24 mos., 75% after 36 mos., and 100% after 48 mos. Jean Miller, Attorney-in-Fact 2003-11-17 -----END PRIVACY-ENHANCED MESSAGE-----