0001225208-12-000643.txt : 20120104 0001225208-12-000643.hdr.sgml : 20120104 20120104182455 ACCESSION NUMBER: 0001225208-12-000643 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111231 FILED AS OF DATE: 20120104 DATE AS OF CHANGE: 20120104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kelly John C. CENTRAL INDEX KEY: 0001430345 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-06926 FILM NUMBER: 12508205 MAIL ADDRESS: STREET 1: 5 GIRALDA FARMS CITY: MADISON STATE: NJ ZIP: 07940 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 doc4.xml X0304 4 2011-12-31 0000009892 BARD C R INC /NJ/ BCR 0001430345 Kelly John C. C/O C. R. BARD, INC. 730 CENTRAL AVENUE MURRAY HILL NJ 07974 1 Phantom Stock Units 2011-12-31 4 A 0 71.6400 85.5000 A Common Stock 71.6400 530.8800 D Phantom Stock Units 2012-01-03 4 A 0 289.4500 86.3700 A Common Stock 289.4500 820.3300 D Units are credited under the Company's Deferred Compensation Contract, Deferral of Directors' Fees. Conversion is 1 for 1. Phantom stock units are settled in cash upon termination of service as director. Includes 1 unit for dividend credits. Myra McGinley, Attorney-in-Fact 2012-01-04