-----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, Szb5Xugee5tlVKDViyFljP3do672es/mk+HfoolRdL6VDFvQsQ7qBy3maWUSSi2H i0XojgeqZE2jYRhpsuKbmg== 0001209191-05-025619.txt : 20050512 0001209191-05-025619.hdr.sgml : 20050512 20050512165336 ACCESSION NUMBER: 0001209191-05-025619 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050511 FILED AS OF DATE: 20050512 DATE AS OF CHANGE: 20050512 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MLOTEK MARK E CENTRAL INDEX KEY: 0001194352 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27078 FILM NUMBER: 05825121 MAIL ADDRESS: STREET 1: C/O HENRY SCHEIN INC STREET 2: 135 DURYEA RD 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 2005-05-11 0 0001000228 SCHEIN HENRY INC HSIC 0001194352 MLOTEK MARK E C/O HENRY SCHEIN, INC. 135 DURYEA ROAD MELVILLE NY 11747 1 1 0 0 Senior VP of Corp. Bus. Devel. Common Stock, par value $0.01 per share 2005-05-11 4 M 0 4364 12.28 A 4364 D Common Stock, par value $0.01 per share 2005-05-11 4 M 0 10396 14.3125 A 14760 D Common Stock, par value $0.01 per share 2005-05-11 4 S 0 2400 39.90 D 12360 D Common Stock, par value $0.01 per share 2005-05-11 4 S 0 1737 39.91 D 10623 D Common Stock, par value $0.01 per share 2005-05-11 4 S 0 1200 39.92 D 9423 D Common Stock, par value $0.01 per share 2005-05-11 4 S 0 200 39.93 D 9223 D Common Stock, par value $0.01 per share 2005-05-11 4 S 0 63 39.9328 D 9160 D Common Stock, par value $0.01 per share 2005-05-11 4 S 0 600 39.96 D 8560 D Common Stock, par value $0.01 per share 2005-05-11 4 S 0 400 39.97 D 8160 D Common Stock, par value $0.01 per share 2005-05-11 4 S 0 200 39.98 D 7960 D Common Stock, par value $0.01 per share 2005-05-11 4 S 0 100 40.00 D 7860 D Common Stock, par value $0.01 per share 2005-05-11 4 S 0 800 40.04 D 7060 D Common Stock, par value $0.01 per share 2005-05-11 4 S 0 700 40.05 D 6360 D Common Stock, par value $0.01 per share 2005-05-11 4 S 0 1000 40.06 D 5360 D Common Stock, par value $0.01 per share 2005-05-11 4 S 0 400 40.07 D 4960 D Common Stock, par value $0.01 per share 2005-05-11 4 S 0 800 40.10 D 4160 D Common Stock, par value $0.01 per share 2005-05-11 4 S 0 1350 40.12 D 2810 D Common Stock, par value $0.01 per share 2005-05-11 4 S 0 600 40.13 D 2210 D Common Stock, par value $0.01 per share 2005-05-11 4 S 0 200 40.16 D 2010 D Common Stock, par value $0.01 per share 2005-05-11 4 S 0 300 40.17 D 1710 D Common Stock, par value $0.01 per share 2005-05-11 4 S 0 450 40.21 D 1260 D Common Stock, par value $0.01 per share 2005-05-11 4 S 0 400 40.28 D 860 D Common Stock, par value $0.01 per share 2005-05-11 4 S 0 360 40.30 D 500 D Common Stock, par value $0.01 per share 2005-05-11 4 S 0 200 40.31 D 300 D Common Stock, par value $0.01 per share 2005-05-11 4 S 0 200 40.36 D 100 D Common Stock, par value $0.01 per share 2005-05-11 4 S 0 100 40.40 D 0 D Common Stock, par value $0.01 per share 800 I By children Stock Option (right to buy) 12.28 2005-05-11 4 M 0 4364 0.00 D 2007-03-13 Common Stock, par value $0.01 per share 4364 0 D Stock Option (right to buy) 14.3125 2005-05-11 4 M 0 10396 0.00 D 2011-03-01 Common Stock, par value $0.01 per share 10396 24604 D Represents shares held by Mr. Mlotek's children. Acquired pursuant to the Issuer's 1994 Stock Incentive Plan. The option vested in three equal installments on March 13, 1998, March 13, 1999 and March 13, 2000. The option vested in three equal installments on March 1, 2002, March 1, 2003 and March 1, 2004. /s/ Mark E. Mlotek 2005-05-12 -----END PRIVACY-ENHANCED MESSAGE-----