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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 | ||||||||
Phantom Stock | (1) | 12/15/2005 | A | 129.202 | 12/15/2005 | 12/15/2005 | Common Stock | 129.202 | $ 29.77 | 129.202 | D | ||||
Phantom Stock | (1) | 12/15/2005 | M/K | 129.202 | 12/15/2005 | 12/15/2005 | Common Stock | 129.202 | (1) | 0 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
LEWENT JUDY C ONE MERCK DRIVE WHITEHOUSE STATION, NJ 08889-0100 |
Exec.V.P.& C.F.O./Pres.HHA |
Debra A. Bollwage as Attorney-in-Fact for Judy C. Lewent | 12/19/2005 | |
**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) | Each phantom stock unit was the equivalent of one share of Merck common stock. 129 represents the dividend equivalent and the appreciation of the dividend equivalent credited to participant's account on December 15, 2005 and the remaining .2020 was settled for cash. |
(2) | Includes shares acquired and dividends earned through October 3, 2005 in the Merck & Co., Inc. Employee Savings and Security Plan, a 401(k) plan. |