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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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*
MONTRONE PAUL M

(Last) (First) (Middle)
LIBERTY LANE

(Street)
HAMPTON NH 03842

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
FISHER SCIENTIFIC INTERNATIONAL INC [ FSH ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
Chairman and CEO
3. Date of Earliest Transaction (Month/Day/Year)
08/17/2005
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 08/17/2005 M(1) 50,000 A $9.5 462,896 D
Common Stock 08/17/2005 S(1) 50,000 D $63.5622(2) 412,896 D
Common Stock 362,500 I Shares held by 1996 rabbi trust
Common Stock 294,243 I Shares held by 1998 rabbi trust
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
Stock Options (Right to buy) $9.5 08/17/2005 M(1) 50,000 01/21/1999(3) 01/21/2008 Common Stock 50,000 $9.5 498,626 D
Explanation of Responses:
1. The exercise and sale of the option shares were accomplished pursuant to a 10b5-1(c) sales plan adopted on March 7, 2005.
2. The sales price shown is the aggregate sales price for all option shares sold on August 17, 2005, actual denominations are as follows: 700 shares at $62.88; 500 shares at $62.89; 1,000 shares at $62.92; 2,000 shares at $62.95; 2,000 shares at $63.17; 4,200 shares at $63.36; 1,700 shares at $63.41; 2,300 shares at $63.46; 2,000 shares at $63.48; 2,000 shares at $63.49; 3,000 shares at $63.50; 400 shares at $63.53; 800 shares at $63.54; 1,000 shares at $63.55; 1,000 shares at $63.57; 1,900 shares at $63.67; 1,900 shares at $63.68; 2,400 shares at $63.71; 2,300 shares at $63.72; 100 shares at $63.73; 200 shares at $63.74; 3,800 shares at $63.75; 2,100 shares at $63.80; 4,000 shares at $63.81; 200 shares at $63.82; 2,000 shares at $63.83; 100 shares at $63.84; 4,000 shares at $63.86; 400 shares at $63.88.
3. Options (right to buy) became exercisable in equal installments on each of the first five anniversaries of the date of grant.
Carrie M. Kane 08/19/2005
** 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).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.