-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, M+NuExtketT3pj1HKgax/stYfY8xHkLwT2GDk5Wv/sP2wwVbR3OHlRJ3jImxCq1G 5/2d20G0o74LSGLgAm4hzA== 0001179110-04-002745.txt : 20040209 0001179110-04-002745.hdr.sgml : 20040209 20040209122732 ACCESSION NUMBER: 0001179110-04-002745 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031227 FILED AS OF DATE: 20040209 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SCHEIN HENRY INC CENTRAL INDEX KEY: 0001000228 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-CATALOG & MAIL-ORDER HOUSES [5961] IRS NUMBER: 113136595 STATE OF INCORPORATION: DE FISCAL YEAR END: 1226 BUSINESS ADDRESS: STREET 1: 135 DURYEA RD CITY: MELVILLE STATE: NY ZIP: 11747 BUSINESS PHONE: 6318425500X6867 MAIL ADDRESS: STREET 1: 135 DURYEA RD CITY: MELVILLE STATE: NY ZIP: 11747 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GIBSON LARRY CENTRAL INDEX KEY: 0001194350 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27078 FILM NUMBER: 04576706 MAIL ADDRESS: STREET 1: C/O HENRY SCHEIN INC STREET 2: 135 DURYEA RD CITY: MELVILLE STATE: NY ZIP: 11747 5 1 edgar.xml FORM 5 - X0201 5 2003-12-27 1 0 0 0001000228 SCHEIN HENRY INC HSIC 0001194350 GIBSON LARRY C/O HENRY SCHEIN, INC. 135 DURYEA ROAD MELVILLE NY 11747 0 1 0 0 See Remarks Common Stock 2003-05-23 5 G 0 7500 D 107000 D Common Stock 122000 I See Note Shares gifted to the The Corporation of the President Church of Jesus Christ of Latter Day Saints. Represents shares held as co-manager of Shilar Investments, L.L.C. Larry Gibson ceased being a reporting person as of December 15, 2003, because of a change in responsibilities. /s/Larry Gibson 2004-02-04 -----END PRIVACY-ENHANCED MESSAGE-----