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FISHER SCIENTIFIC INTERNATIONAL INC.




2005 EQUITY AND INCENTIVE PLAN

RESTRICTED STOCK UNIT AGREEMENT




     This RESTRICTED STOCK UNIT AGREEMENT (this “Agreement”), dated as of the       day of                     ,
2005, is entered into by and between Fisher Scientific International Inc., a Delaware corporation
(the “Company”), and                      (the “Grantee” and, together with the Company, the “Parties”).



RECITALS




     A. The Company has adopted and approved the Fisher Scientific International Inc. 2005 Equity &
Incentive Plan (the “Plan”), a copy of which is attached to this Agreement; and



     B. The Committee appointed to administer the Plan has determined that Grantee is eligible to
participate in the Plan and that it would be to the advantage and best interest of the Company and
its stockholders to grant the award of Restricted Stock Units (as defined below) provided for
herein to Grantee; and



     C. This Agreement is prepared in conjunction with and under the terms of the Plan. Terms used
herein but not otherwise defined herein shall have the meanings ascribed to such terms in the Plan;
and



     D. Grantee has accepted the grant of the Restricted Stock Units and agreed to the terms and
conditions hereinafter stated.



     NOW THEREFORE, IN CONSIDERATION OF THE FOREGOING RECITALS AND OF THE PROMISES AND CONDITIONS
HEREIN CONTAINED, IT IS AGREED AS FOLLOWS:



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     1. Grant of Restricted Stock Units. Subject to the provisions of this Agreement, the
provisions of the Plan, and the provisions of the Company’s current agreement relating to
intellectual property, confidential information conflicts of interest, competitive activities and
release in effect at the time between the Company and [                    ], the Company has granted
effective [                    ] (the “ Grant Date”) units evidencing a right to receive [          ]
shares of common stock of the Company (the “Common Stock”) pursuant to the terms and
conditions of this Agreement (the “Restricted Stock Units” or “Restricted Stock Unit Award”).



     2. Restrictions
and Vesting Period.




     (a) Restrictions. The Restricted Stock Units granted hereunder may not be sold,
assigned, transferred, pledged, hypothecated or otherwise encumbered or disposed of, other than by
will or the laws of descent and distribution.




     (b) Vesting Period. Subject to the forfeiture provisions set forth in Section 4(a),
the Restricted Stock Units shall become vested on [     ] anniversary of the Grant Date.



     3. No Stockholder Rights. Grantee shall have no rights of a stockholder of the
Company with respect to the Restricted Stock Units, including, but not limited to, the rights to
vote and receive ordinary dividends, until the date of issuance of a stock certificate for such
shares. In the event that the Committee approves an adjustment to the Restricted Stock Unit Award
pursuant to Section 5(b) of the Plan, then in such event, any and all new, substituted or
additional securities to which Grantee is entitled by reason of the Restricted Stock Unit Award
shall be immediately subject to the Restrictions and Vesting Period with the same force and effect
as the Restricted Stock Unit Award subject to such Restrictions immediately before such event.



     4. Cessation of Employment.




     (a) Forfeiture. If the Grantee’s employment or service with the Company or any
Subsidiary or Affiliate is terminated at any time while the Grantee is entitled to shares pursuant
to this Restricted Stock Unit Award for any reason other than those set forth in Section 4(b) of
this Agreement, then any unvested Restricted Stock Units pursuant to the Restricted Stock Unit Award shall be
forfeited to the Company and neither the Grantee nor any of Grantee’s successors, heirs, assigns,
or personal representatives shall thereafter have any further rights or interests in such
Restricted Stock Unit Award.



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     (b) Accelerated Vesting. If the Grantee’s employment or service with the Company or
any Subsidiary or Affiliate is terminated as a result of the Grantee’s death or Disability, the
Restricted Stock Units shall immediately vest in full.



     5. Certificates. Upon vesting, the Company will issue a stock certificate for the
shares of Common Stock represented by this Agreement net of any shares withheld to satisfy payment
of mandatory taxes due from Grantee as described in Section 6 of this Agreement. If the Company
does not elect to withhold shares to satisfy the payment of mandatory taxes, upon vesting, the
Company will issue a stock certificate for the shares of Common Stock represented by this
Agreement, upon receipt of payment of the applicable taxes due from Grantee as set forth in Section
6 of this Agreement.



     6. Taxes. The Grantee shall pay to the Company promptly upon request, at the time the
Grantee recognizes taxable income as a result of the issuance of shares representing the Restricted
Stock Units granted herein, an amount equal to the federal, state and/or local taxes the Company
determines it is required to withhold under applicable tax laws. In lieu of collecting payment
from the Grantee, the Company may, in its discretion, distribute vested shares of Common Stock net
of the number of whole shares of Common Stock the fair market value of which is equal to the
minimum amount of federal, state and local taxes required to be withheld under applicable tax laws.



     7. Restrictive Covenants. If the Grantee engages in any conduct in breach of any
noncompetition, nonsolicitation or confidentiality obligations to the Company under any agreement,
policy or plan (including the agreement relating to intellectual property, confidential
information, conflicts of interest, competitive activities and release in effect at the time), then
such conduct shall also be deemed to be a breach of the terms of the Plan and this Agreement. Upon
such breach, any unvested shares of this Restricted Stock Unit Award and any shares that vested
within a period of 18 months prior to such breach shall be forfeited to the Company upon demand and
any amounts realized upon the sale of such vested shares shall be returned to the Company upon
demand.



     8. Miscellaneous.




     (a) Incorporation of Plan. This Agreement is made under the provisions of the Plan
(which is incorporated herein by reference) and shall be interpreted in a manner consistent with
it. To the extent that this Agreement is silent with respect to, or in any way inconsistent with,
the terms of the Plan, the



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       provisions of the Plan shall govern and this Agreement shall be deemed to be modified
accordingly.





     (b) Notices. Any notice to be given under the terms of this Agreement shall be in
writing and addressed to the Company at Liberty Lane, Hampton, New Hampshire 03842, Attention:
Corporate Secretary, and to Grantee at the address set forth below or at such other address as
either party may hereafter designate in writing to the other by like notice.




     (c) Successor. Except as otherwise provided hereunder, this Agreement shall be
binding upon and shall inure to the benefit of any successor or successors of the Company.




     (d) Governing Law. This Agreement shall be governed by and construed in accordance
with the laws of the State of Delaware. The Committee shall have final authority to interpret and
construe the Plan and this Agreement and to make any and all determinations under them, and its
decision shall be binding and conclusive upon the Grantee and the Grantee’s legal representative
in respect of any questions arising under the Plan or the Grantee’s Agreement.




     (e) Amendment. This Agreement may not be amended in any manner except by an
instrument in writing signed by both parties hereto. The waiver by either party of compliance
with any provision of this Agreement shall not operate or be construed as a waiver of any other
provision of this Agreement or of any subsequent breach of such party of a provision of this
Agreement.



(Remainder of page intentionally left blank)




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     IN WITNESS WHEREOF, the Company has caused this Agreement to be executed on its behalf by a
duly authorized officer and Grantee has hereunto set Grantee’s hand.



	 	 	 	 	 
	 	FISHER SCIENTIFIC

INTERNATIONAL INC.

 	 
	 	BY:  	 	 
	 	 	 	 
	 	 	 	 
	 



	 	 	 
	 

Signature of Grantee:

	 	  
	Print name of Grantee

	 	 
	 
	 	 
	 
	 	 
	 

Address

	 	  
	 
	 	 
	 
	 	 
	 


	 	 
	 
	 	 
	 

Social Security Number

	 	  







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