0001225208-11-017805.txt : 20110706 0001225208-11-017805.hdr.sgml : 20110706 20110706172841 ACCESSION NUMBER: 0001225208-11-017805 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110701 FILED AS OF DATE: 20110706 DATE AS OF CHANGE: 20110706 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Pedersen John B. CENTRAL INDEX KEY: 0001484054 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11083 FILM NUMBER: 11954256 MAIL ADDRESS: STREET 1: C/O BOSTON SCIENTIFIC STREET 2: ONE BOSTON SCIENTIFIC PLACE CITY: NATICK STATE: MA ZIP: 01760 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 4 1 doc4.xml X0303 4 2011-07-01 0000885725 BOSTON SCIENTIFIC CORP BSX 0001484054 Pedersen John B. ONE BOSTON SCIENTIFIC PLACE NATICK MA 01760-1537 1 Pres, Uro & Women's Health Common Stock 2011-07-01 4 M 0 3020.0000 0 A 3020.0000 D Common Stock 2011-07-01 4 F 0 959.0000 7.2300 D 2061.0000 D Common Stock 13750.0000 I By 401(k) Deferred Stock Units 2011-07-01 4 M 0 3020.0000 0.0000 D Common Stock 3020.0000 48354.0000 D Each deferred stock unit represents the Company's commitment to issue one share of Boston Scientific common stock. Balance reflects the most current data available with regard to share holdings in the Company's 401(k) Savings Plan. Shares of common stock will be issued to the reporting person in five equal annual installments beginning on July 1, 2007, the second anniversary of the award, provided the reporting person continues to be an employee of Boston Scientific or in certain circumstances upon the reporting person's retirement from the Company. Reflects multiple DSU awards with independent vesting schedules. /s/ Theresa R. Boni, Attorney-in-Fact 2011-07-06