0001209191-16-105689.txt : 20160303 0001209191-16-105689.hdr.sgml : 20160303 20160303181739 ACCESSION NUMBER: 0001209191-16-105689 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160302 FILED AS OF DATE: 20160303 DATE AS OF CHANGE: 20160303 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HENRY SCHEIN 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: 1229 BUSINESS ADDRESS: STREET 1: 135 DURYEA RD CITY: MELVILLE STATE: NY ZIP: 11747 BUSINESS PHONE: 6318435500 MAIL ADDRESS: STREET 1: 135 DURYEA RD CITY: MELVILLE STATE: NY ZIP: 11747 FORMER COMPANY: FORMER CONFORMED NAME: SCHEIN HENRY INC DATE OF NAME CHANGE: 19950907 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SULLIVAN LOUIS W CENTRAL INDEX KEY: 0001193522 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27078 FILM NUMBER: 161482851 FORMER NAME: FORMER CONFORMED NAME: SULLIVAN LOUIS DATE OF NAME CHANGE: 20020927 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-03-02 0 0001000228 HENRY SCHEIN INC HSIC 0001193522 SULLIVAN LOUIS W C/O HENRY SCHEIN, INC. 135 DURYEA ROAD MELVILLE NY 11747 1 0 0 0 Common Stock, par value $0.01 per share 2016-03-02 4 F 0 633 168.93 D 16830 D Common Stock, par value $0.01 per share 2016-03-02 4 S 0 3837 168.50 D 12993 D Common Stock, par value $0.01 per share 2016-03-02 4 M 0 7898 59.89 A 20891 D Common Stock, par value $0.01 per share 2016-03-02 4 S 0 7898 168.63 D 12993 D Stock Option (right-to-buy) 59.89 2016-03-02 4 M 0 7898 0.00 D 2018-03-03 Common Stock, par value $0.01 per share 7898 0 D 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 2, 2012 grant of time-based restricted stock/units. The price reflects a weighted average of sales made at prices ranging from $168.50 to $168.78 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. Acquired pursuant to the Issuer's 1996 Non-Employee Director Stock Incentive Plan, as amended (now known as the Issuer's 2015 Non-Employee Director Stock Incentive Plan). The option vests in four equal installments on each of March 3, 2009, March 3, 2010, March 3, 2011 and March 3, 2012. /s/ Jennifer Ferrero (as Attorney-in-Fact for Louis W. Sullivan, M.D.) 2016-03-03