Filing Details

Accession Number:
0001209191-12-017888
Form Type:
4
Zero Holdings:
No
Publication Time:
2012-03-13 17:34:34
Reporting Period:
2012-03-09
Filing Date:
2012-03-13
Accepted Time:
2012-03-13 17:34:34
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1000228 Henry Schein Inc HSIC Wholesale-Medical, Dental & Hospital Equipment & Supplies (5047) 113136595
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1008413 M Stanley Bergman C/O Henry Schein, Inc.
135 Duryea Road
Melville NY 11747
Chairman, Ceo Yes Yes No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock, Par Value $0.01 Per Share Acquisiton 2012-03-09 31,785 $0.00 212,478 No 4 A Direct
Common Stock, Par Value $0.01 Per Share Disposition 2012-03-09 27,488 $73.93 184,990 No 4 F Direct
Common Stock, Par Value $0.01 Per Share Disposition 2012-03-12 32,227 $73.08 152,763 No 4 S Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 A Direct
No 4 F Direct
No 4 S Direct
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock, Par Value $0.01 Per Share 895,070 Indirect By Spouse
Common Stock, Par Value $0.01 Per Share 10,000 Indirect By Trust
Common Stock, Par Value $0.01 Per Share 4,418 Indirect By 401(k) Plan
Footnotes
  1. Represents additional shares of the issuer's common stock issued under the Henry Schein, Inc. 1994 Stock Incentive Plan that vested on March 9, 2012 in connection with exceeding the performance target with respect to the reporting person's March 9, 2009 grant of performance-based restricted stock.
  2. Represents the surrender of shares to the issuer to satisfy the reporting person's tax withholding obligation upon the vesting of the reporting person's March 9, 2009 grant of performance-based restricted stock.
  3. The price reflects a weighted average of sales made at prices ranging from $73.00 to $73.93 per share. The Reporting Person, upon request by the Securities and Exchange Commission staff, the issuer, or a security holder of the issuer, will provide full information regarding the number of shares sold at each separate price for this transaction.
  4. Represents (i) 894,512 shares held by the Bergman Family 2010 Trust 2, of which Marion Bergman, Stanley M. Bergman's wife, is a co-trustee and a beneficiary and (ii) 558 shares held by Mrs. Bergman.
  5. Represents 10,000 shares held by the Edward J. Bergman 2010 Trust for the benefit of one of Mr. Bergman's children and of which Mr. Bergman is the sole trsutee.