0001225208-11-025577.txt : 20111201 0001225208-11-025577.hdr.sgml : 20111201 20111201165315 ACCESSION NUMBER: 0001225208-11-025577 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111129 FILED AS OF DATE: 20111201 DATE AS OF CHANGE: 20111201 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: NICHOLAS NJ JR CENTRAL INDEX KEY: 0001207446 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11083 FILM NUMBER: 111237789 MAIL ADDRESS: STREET 1: C/O TIME WARNER CABLE INC. STREET 2: 60 COLUMBUS CIRCLE, 16TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10023 FORMER NAME: FORMER CONFORMED NAME: NICHOLAS NICHOLAS J JR DATE OF NAME CHANGE: 20021125 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 X0304 4 2011-11-29 0000885725 BOSTON SCIENTIFIC CORP BSX 0001207446 NICHOLAS NJ JR ONE BOSTON SCIENTIFIC PLACE NATICK MA 01760-1537 1 Common Stock 2011-11-29 4 P 0 10000.0000 5.5600 A 180000.0000 I By IRA Common Stock 55206.0000 D Common Stock 35000.0000 I By Charitable Trust Common Stock 152000.0000 I By Trust Common Stock 51269.0000 I By Trust 2 Shares held by a charitable trust of which the reporting person and his spouse are trustees. Shares held by trust of which the reporting person's wife and children are beneficiaries and/or trustees. Shares held by a revocable trust of which the reporting person is the sole trustee. /s/ Theresa R. Boni, Attorney-in-Fact 2011-12-01