-----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, Cb/qceoXZTyfLQ+zmSsUm3pPU4edBUq8xzr+b+CDyKm/cSvBChvUdjliW+JYZrS9 taUUuXTU8ypgT2gpy6PeVA== 0001209191-06-059191.txt : 20061113 0001209191-06-059191.hdr.sgml : 20061113 20061113213047 ACCESSION NUMBER: 0001209191-06-059191 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20061109 FILED AS OF DATE: 20061113 DATE AS OF CHANGE: 20061113 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FISHER SCIENTIFIC INTERNATIONAL INC CENTRAL INDEX KEY: 0000880430 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-PROFESSIONAL & COMMERCIAL EQUIPMENT & SUPPLIES [5040] IRS NUMBER: 020451017 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: LIBERTY LANE CITY: HAMPTON STATE: NH ZIP: 03842 BUSINESS PHONE: 6039265911 MAIL ADDRESS: STREET 1: LIBERTY LANE CITY: LIBEHAMPTON STATE: NH ZIP: 03842 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DELLA PENTA DAVID T CENTRAL INDEX KEY: 0001248746 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-10920 FILM NUMBER: 061211077 BUSINESS ADDRESS: STREET 1: FISHER SCIENTIFIC INTERNATIONAL INC STREET 2: LIBERTY LANE CITY: HAMPTON STATE: NH ZIP: 03842 4 1 doc4.xml FORM 4 SUBMISSION X0202 4 2006-11-09 1 0000880430 FISHER SCIENTIFIC INTERNATIONAL INC FSH 0001248746 DELLA PENTA DAVID T LIBERTY LANE HAMPTON NH 03842 0 1 0 0 PRES\CHIEF OPER. OFFICER Common Stock 2006-11-09 4 D 0 18400 D 0 D Employee Stock Option (right to buy) 28.40 2006-11-09 4 D 0 116675 D 2013-01-27 Common Stock 116675 0 D Employee Stock Option (right to buy) 39.25 2006-11-09 4 D 0 250000 D 2008-09-26 Common Stock 250000 0 D Employee Stock Option (right to buy) 61.35 2006-11-09 4 D 0 111700 D 2015-03-07 Common Stock 111700 0 D Employee Stock Option (right to buy) 64.60 2006-11-09 4 D 0 107500 D 2015-07-25 Common Stock 107500 0 D Each Restricted Stock Unit accrued under the issuer's 2005 Equity and Incentive Plan is the economic equivalent of one share of issuer common stock. The Restricted Stock Units were settled pursuant to the Agreement and Plan of Merger between Thermo Electron Corporation, Trumpet Merger Corporation and the issuer (the "Merger Agreement") for 2.0 shares of common stock of the surviving entity, Thermo Fisher Scientific Inc. ("Thermo Fisher"), on November 9, 2006, the effective date of the merger. Thermo Fisher stock had a market value of $45.03 per share on November 10, 2006, the first day Thermo Fisher stock was traded following the effective date of the merger. This option (the "Original Option") was assumed by Thermo Fisher under the Merger Agreement and replaced with an option to purchase shares of Thermo Fisher common stock ("Substitute Option"). Under the Substitute Option: the number of option shares will equal the number of option shares under the Original Option, times the Exchange Ratio; and the exercise price will equal the exercise price under the Original Option, divided by the Exchange Ratio. The Exchange Ratio is 2.0. /s/ Carrie Kane as Attorney-in-Fact for David T. Della Penta 2006-11-13 -----END PRIVACY-ENHANCED MESSAGE-----