1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security |
5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Employee Stock Option (2004/02/02 right to buy)
|
02/02/2005(3)
|
02/01/2014 |
Common Stock
|
30,000
|
$
47.79
|
D
|
Â
|
Employee Stock Option (2004/04/27 right to buy)
|
04/27/2005(4)
|
02/26/2014 |
Common Stock
|
20,000
|
$
48.24
|
D
|
Â
|
Employee Stock Option (2005/02/25 right to buy)
|
02/25/2006(5)
|
02/24/2015 |
Common Stock
|
20,000
|
$
31.84
|
D
|
Â
|
Restricted Stock Units 2004/02/02
|
02/02/2006(6)
|
02/02/2007 |
Common Stock
|
3,000
|
$
(7)
|
D
|
Â
|
Restricted Stock Units 2004/04/27
|
02/27/2007 |
02/27/2007 |
Common Stock
|
3,333
|
$
(7)
|
D
|
Â
|
RSU - Leader Shares 2004/11/01
|
11/01/2007 |
11/01/2007 |
Common Stock
|
13,000
|
$
(7)
|
D
|
Â
|
Restricted Stock Units 2005/02/25
|
02/25/2008 |
02/25/2008 |
Common Stock
|
3,333
|
$
(7)
|
D
|
Â
|
* |
If the form is filed by more than one reporting person, see Instruction 5(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) |
Includes shares acquired and dividends earned through April 1, 2005 in the Merck & Co., Inc. Employee Savings and Security Plan, a 401(k) Plan. |
(2) |
Includes shares held and dividends earned in broker dividend reinvestment plan. |
(3) |
The option vests in three equal annual installments beginning February 2, 2005. |
(4) |
The option vests in three equal annual installments beginning April 27, 2005. |
(5) |
The option vests in three equal annual installments beginning February 25, 2006. |
(6) |
The restricted stock units vest in two equal annual installments beginning February 2, 2006. |
(7) |
Each restricted stock unit represents a contingent right to receive one share of Merck & Co., Inc. common stock. |