SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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X
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
LEVY BRIAN

(Last) (First) (Middle)

(Street)

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
BAUSCH & LOMB INC [ BOL ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Vice President
3. Date of Earliest Transaction (Month/Day/Year)
10/26/2007
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 10/26/2007 D 5,946 D (1) 0 D
Common Stock 10/26/2007 D 1,964 D(2) (2) 0 I By 401(k) Plan
Common Stock 10/26/2007 M 5,191 A (3) 0 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Incentive Stock Options $50.9375 10/26/2007 D 1,720 (4) 07/27/2008 Class B Stock 1,720 $14.0625(4) 0 D
Non-Qualified Stock Options $54.26 10/26/2007 D 5,000 (5) 02/02/2014 Common Stock 5,000 $11.84(5) 0 D
Non-Qualified Stock Options $59.755 10/26/2007 D 3,000 (4) 03/01/2014 Common Stock 3,000 $5.245(4) 0 D
Non-Qualified Stock Options $29.845 10/26/2007 D 5,000 (4) 02/25/2013 Class B Stock 5,000 $35.155(4) 0 D
Non-Qualified Stock Options $38.345 10/26/2007 D 6,000 (4) 01/28/2012 Class B Stock 6,000 $26.655(4) 0 D
Non-Qualified Stock Options $44.825 10/26/2007 D 9,500 (4) 01/29/2011 Class B Stock 9,500 $20.175(4) 0 D
Non-Qualified Stock Options $61.9688 10/26/2007 D 1,800 (4) 07/14/2010 Class B Stock 1,800 $3.0312(4) 0 D
Phantom Stock (3) 10/26/2007 M 3,477 (3) (3) Common Stock 3,477 (3) 0 I Deferred Compensation Plan
Phantom Stock (3) 10/26/2007 M 923 (3) 01/01/2012(3) Common Stock 923 (3) 0 I Deferred Compensation Plan
Phantom Stock (3) 10/26/2007 M 791 (3) 01/01/2011(3) Common Stock 791 (3) 0 I Deferred Compensation Plan
Explanation of Responses:
1. Disposed of pursuant to agreement and plan of merger by and among issuer, WP Prism Inc. (f/k/a WP Prism LLC) and WP Prism Merger Sub Inc. (the "Merger Agreement") in exchange for $65.00 per share, without interest, less any applicable withholding tax, on the effective date of the merger.
2. Shares held in issuer's 401(k) Plan, disposed of pursuant to the Merger Agreement, and cancelled in exchange for an amount in cash, without interest, equal to the merger consideration ($65.00 per share).
3. The reported shares of phantom stock were cancelled in the merger pursuant to the Merger Agreement in exchange for a right to receive an amount in cash equal to the product of the number of issuer shares previously subject to such shares of phantom stock and the merger consideration ($65.00 per share), less any applicable withholding taxes. Each share of phantom stock was the economic equivalent of a share of issuer common stock.
4. This option was cancelled in the merger pursuant to the Merger Agreement in exchange for an amount in cash, without interest, equal to the product of (1) the number of shares of issuer stock previously subject to such option and (2) the excess, if any, of the merger consideration ($65.00 per share) over the purchase price per share previously subject to such option, less any required withholding taxes.
5. This option was cancelled in the merger pursuant to the Merger Agreement. Pursuant to the applicable award agreement, this option was exchanged for a cash payment equal to the product of the number of issuer shares previously subject to such option and the excess, if any, of the highest trading price of issuer common stock during the 60-day period concluding on the date of shareholder approval and adoption of the Merger Agreement over the purchase price per share previously subject to such option, less any required withholding taxes.
/s/ Robert D. Bailey, attorney-in-fact 10/30/2007
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
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