|
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
|
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
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 control number. | SEC 1474 (9-02) |
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 Underlying Securities (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 of Derivative Security: 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 Option (Right to Buy) | $ 4.75 | 11/09/2006 | A | 864,604 | 11/09/2006 | 01/21/2008 | Common Stock | 864,604 | (6) | 864,604 | D | ||||
Stock Option (Right to Buy) | $ 19.62 | 11/09/2006 | A | 600,000 | 11/09/2006 | 09/26/2008 | Common Stock | 600,000 | (7) | 600,000 | D | ||||
Stock Option (Right to Buy) | $ 12 | 11/09/2006 | A | 500,000 | 11/09/2006 | 05/03/2011 | Common Stock | 500,000 | (8) | 500,000 | D | ||||
Stock Option (Right to Buy) | $ 15 | 11/09/2006 | A | 200,000 | 11/09/2006 | 05/03/2011 | Common Stock | 200,000 | (9) | 200,000 | D | ||||
Stock Option (Right to Buy) | $ 14.2 | 11/09/2006 | A | 600,000 | 11/09/2006 | 01/27/2013 | Common Stock | 600,000 | (10) | 600,000 | D | ||||
Stock Option (Right to Buy) | $ 43.37 | 11/09/2006 | A | 15,600 | (11) | 11/09/2013 | Common Stock | 15,600 | $ 0 | 15,600 | D | ||||
Stock Option (Right to Buy) | $ 30.68 | 11/09/2006 | A | 119,200 | 11/09/2006 | 03/07/2015 | Common Stock | 119,200 | (12) | 119,200 | D | ||||
Stock Option (Right to Buy) | $ 32.3 | 11/09/2006 | A | 172,080 | 11/09/2006 | 07/25/2015 | Common Stock | 172,080 | (13) | 172,080 | D | ||||
Stock Option (Right to Buy) | $ 30.68 | 11/09/2006 | A | 178,800 | 11/09/2006 | 03/07/2015 | Common Stock | 178,800 | (14) | 178,800 | I | By Family Trust (15) | |||
Stock Option (Right to Buy) | $ 32.3 | 11/09/2006 | A | 114,720 | 11/09/2006 | 07/25/2015 | Common Stock | 114,720 | (16) | 114,720 | I | By Family Trust (15) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
MEISTER PAUL M 81 WYMAN STREET P.O. BOX 9046 WALTHAM, MA 024549046 |
X |
By: Barbara J. Lucas, Attorney-in-Fact for Paul M. Meister | 11/14/2006 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | Received in exchange for 175,000 shares of Fisher Scientific International Inc. common stock in connection with the merger of Thermo Fisher Scientific Inc. (formerly known as Thermo Electron Corporation), Trumpet Merger Corporation and Fisher Scientific International Inc. ("FSH") (the "Merger"). On the effective date of the Merger, the closing price of FSH's common stock was $86.58 per share, and the closing price of TMO's common stock was $43.37 per share. |
(2) | Received in exchange for 75,000 Restricted Stock Units accrued under FSH's 2005 Equity and Incentive Plan. The Restricted Stock Units were settled pursuant to the Merger for 2.0 shares of TMO common stock on the effective date of the Merger. |
(3) | Received in exchange for 24,230 Restricted Stock Units accrued under FSH's 2005 Equity and Incentive Plan. The Restricted Stock Units were settled pursuant to the Merger for 2.0 shares of TMO common stock on the effective date of the Merger. |
(4) | Received in exchange for 492,106 shares of FSH common stock in connection with the Merger. On the effective date of the Merger, the closing price of FSH's common stock was $86.58 per share, and the closing price of TMO's common stock was $43.37 per share. |
(5) | The shares are held in a number of trusts for the benefit of the reporting person. |
(6) | Received in the Merger in exchange for a stock option to acquire 432,302 shares of FSH common stock for $9.50 per share. |
(7) | Received in the Merger in exchange for a stock option to acquire 300,000 shares of FSH common stock for $39.24 per share. |
(8) | Received in the Merger in exchange for a stock option to acquire 250,000 shares of FSH common stock for $24.00 per share. |
(9) | Received in the Merger in exchange for a stock option to acquire 100,000 shares of FSH common stock for $30.00 per share. |
(10) | Received in the Merger in exchange for a stock option to acquire 300,000 shares of FSH common stock for $28.40 per share. |
(11) | The option vests in three equal annual installments beginning on November 9, 2007. |
(12) | Received in the Merger in exchange for a stock option to acquire 59,600 shares of FSH common stock for $61.35 per share. |
(13) | Received in the Merger in exchange for a stock option to acquire 86,040 shares of FSH common stock for $64.60 per share. |
(14) | Received in the Merger in exchange for a stock option to acquire 89,400 shares of FSH common stock for $61.35 per share. |
(15) | These options are held by a family trust for the benefit of the reporting person. |
(16) | Received in the Merger in exchange for a stock option to acquire 57,360 shares of FSH common stock for $64.60 per share. |