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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 |
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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) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Stock Option (Right to Buy) | $ 8.5 (2) | 07/29/2004 | M | 50,000 | (3) | 07/25/2010 | Common Stock | 50,000 | $ 0 | 130,000 | D | ||||
Stock Option (Right to Buy) | $ 17 | (4) | 03/17/2009 | Common Stock | 1,450,000 | 1,450,000 | D | ||||||||
Stock Option (Right to Buy) | $ 14.1563 | (5) | 05/09/2010 | Common Stock | 180,000 | 180,000 | D | ||||||||
Stock Option (Right to Buy) | $ 12.5 | (6) | 12/17/2011 | Common Stock | 90,000 | 90,000 | D | ||||||||
Stock Option (Right to Buy) | $ 21.78 | (7) | 02/25/2013 | Common Stock | 200,000 | 200,000 | D | ||||||||
Stock Option (Right to Buy) | $ 33.8 | (8) | 12/16/2013 | Common Stock | 200,000 | 200,000 | D | ||||||||
Stock Option (Right to Buy) | $ 17 | (4) | 03/17/2009 | Common Stock | 550,000 | 550,000 | I | By GRAT (2) | |||||||
Stock Option (Right to Buy) | $ 6.125 | (9) | 12/06/2010 | Common Stock | 450,000 | 450,000 | I | By GRAT (2) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
TOBIN JAMES R ONE BOSTON SCIENTIFIC PLACE NATICK, MA 017601537 |
X | President & CEO |
By: /s/ Lawrence J. Knopf, Attorney-in-fact | 01/05/2005 | |
**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) | This filing corrects an administrative error in the price for securities acquired upon exercise of a stock option. |
(2) | Since the reporting person's last report, 1,000,000 options to purchase common stock of the Company were contributed to a Grantor Retained Annuity Trust (GRAT). |
(3) | Grant to the reporting person of an option to buy a specified number of shares of Common Stock exercisable 25% on July 25, 2001, 50% on July 25, 2002, 75% on July 25, 2003 and 100% on July 25, 2004, the anniversary date of the grant. |
(4) | Grant to the reporting person of an option to buy 1,000,000 shares on Common Stock exercisable in annual increments of 200,000 shares each on March 17, 2000, 2001, 2002, 2003 and 2004, the anniversary date of the grant. |
(5) | Grant to the reporting person of an option to buy a specified number of shares of Common Stock exercisable 25% on May 9, 2001, 50% on May 9, 2002, 75% on May 9, 2003 and 100% on May 9, 2004, the anniversary date of the grant. |
(6) | Grant to the reporting person of an option to buy a specified number of shares of Common Stock exercisable 25% on December 17, 2002, 50% on December 17, 2003, 75% on December 17, 2004 and 100% on December 17, 2005, the anniversary date of the grant. |
(7) | Grant to the reporting person of an option purchase 100,000 shares of common stock of the Compnay, vesting in equal annual installments beginning on February 25, 2004, 2005, 2006 and 2007, the anniversary date of the grant. |
(8) | Grant to the reporting person of an option to purchase a specified number of shares exercisable in equal annual installments beginning on December 16, 2004, 2005, 2006 and 2007, the anniversary date of the grant. |
(9) | Grant to the reporting person of an option to buy a specified number of shares of Common Stock exercisable in approximately equal annual increments on December 6, 2001, 2002 and 2003, the anniversary date of this grant. |