-----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, HrzTBtosN+PPCO/R8BRmBQR+GrMZKHtCyxoajJvIU3oB55BXoVYIs6beJvfC5+5s v/3oORyxWZN+H1eN68KYdA== 0001209191-05-025300.txt : 20050511 0001209191-05-025300.hdr.sgml : 20050511 20050511151003 ACCESSION NUMBER: 0001209191-05-025300 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050510 FILED AS OF DATE: 20050511 DATE AS OF CHANGE: 20050511 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BERGMAN STANLEY M CENTRAL INDEX KEY: 0001008413 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27078 FILM NUMBER: 05820455 BUSINESS ADDRESS: BUSINESS PHONE: 5168435500 MAIL ADDRESS: STREET 1: C/O HENRY SCHEIN INC STREET 2: 135 DURYEA ROAD CITY: MELVILLE STATE: NY ZIP: 11747 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SCHEIN HENRY INC CENTRAL INDEX KEY: 0001000228 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-MEDICAL, DENTAL & HOSPITAL EQUIPMENT & SUPPLIES [5047] 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 4 1 doc4.xml FORM 4 SUBMISSION X0202 4 2005-05-10 0 0001000228 SCHEIN HENRY INC HSIC 0001008413 BERGMAN STANLEY M C/O HENRY SCHEIN, INC. 135 DURYEA ROAD MELVILLE NY 11747 1 1 0 0 CEO and President Common Stock, par value $0.01 per share 2005-04-22 4 G 0 603 0.00 D 11259 D Common Stock, par value $0.01 per share 2005-04-22 4 G 0 100 0.00 D 11159 D Common Stock, par value $0.01 per share 2005-05-06 4 G 0 48 0.00 D 11111 D Common Stock, par value $0.01 per share 2005-05-10 4 J 0 84 0.00 A 1273563 I By Trustees Common Stock, par value $0.01 per share 10100 I By Trustees Common Stock, par value $0.01 per share 1556 I By Sons Gift, not applicable. Pro rata liquidating distribution from the WSW 1997 Exchange Fund of 84 shares of common stock of the issuer to the Stanley M. Bergman Continuing Trust dated September 14, 1994. The Stanley M. Bergman Continuing Trust dated September 14, 1994 had a non-controlling interest in the WSW 1997 Exchange Fund and no investment control over the fund's portfolio securities. Represents shares held by Stanley M. Bergman's wife and Lawrence O. Sneag as co-trustees of the Stanley M. Bergman Continuing Trust dated September 14, 1994. Represents shares held by Lawrence O. Sneag, Stanley M. Bergman's wife or his sons as trustees of trusts for the benefit of immediate family members of Stanley M. Bergman or certain other persons, wherein Stanley M. Bergman is the grantor. Represents shares held directly by Stanley M. Bergman's sons. /s/ Stanley M. Bergman 2005-05-11 -----END PRIVACY-ENHANCED MESSAGE-----