0001209191-18-017226.txt : 20180306
0001209191-18-017226.hdr.sgml : 20180306
20180306161841
ACCESSION NUMBER: 0001209191-18-017226
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180302
FILED AS OF DATE: 20180306
DATE AS OF CHANGE: 20180306
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Ettinger Michael S
CENTRAL INDEX KEY: 0001577158
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-27078
FILM NUMBER: 18670109
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: 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
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2018-03-02
0
0001000228
HENRY SCHEIN INC
HSIC
0001577158
Ettinger Michael S
C/O HENRY SCHEIN, INC.
135 DURYEA ROAD
MELVILLE
NY
11747
0
1
0
0
SVP Corp/Legal Ch of Staff Sec
Common Stock, par value $0.01 per share
2018-03-02
4
M
0
18256
29.945
A
76442
D
Common Stock, par value $0.01 per share
2018-03-02
4
F
0
11839
65.19
D
64603
D
Common Stock, par value $0.01 per share
2018-03-02
4
A
0
13038
0.00
A
77641
D
Common Stock, par value $0.01 per share
2018-03-02
4
A
0
957
0.00
A
78589
D
Common Stock, par value $0.01 per share
2018-03-02
4
F
0
6330
65.19
D
72268
D
Common Stock, par value $0.01 per share
800
I
As trustee of trusts for the benefit of his children.
Common Stock, par value $0.01 per share
211
I
by 401(k) plan
Stock Option Right to Buy
29.945
2018-03-02
4
M
0
18256
0.00
D
2018-03-03
Common Stock, par value $0.01 per share
18256
0
D
Represents the surrender of shares to the Issuer to cover the payment of the exercise price and the tax withholding obligation upon the exercise and hold of the reporting person's March 3, 2008 stock option grant.
Grant of restricted stock units (RSU) pursuant to the Issuer's 2013 Stock Incentive Plan. Subject to certain exceptions, 65% will vest subject to (x) Issuer's achievement of a specified performance goal and (y) reporting person's continued perf. of services for the Issuer. 35% will vest subject to (x) passage of a specified period of time and (y) reporting person's continued perf. of services for the Issuer. With respect to the performance-based RSU, if the continued service requirement is satisfied and achievement of the performance goal (x) exceeds 100% of target, the Issuer may issue additional vested shares of common stock in an amount that corresponds to the incremental percentage of the performance goal achieved in excess of 100% of target or (y) is less than 100% of target, the reporting person will surrender to the Issuer shares of common stock in an amount that corresponds to the incremental percentage of the performance goal achieved that is below 100% of target (shortfall).
Represents additional shares of the issuer's common stock issued under the Henry Schein, Inc. 2013 Stock Incentive Plan, as may be amended from time to time (formerly known as the Henry Schein, Inc. 1994 Stock Incentive Plan) that vested on March 2, 2018 in connection with exceeding the performance target with respect to the reporting person's March 3, 2015 grant of performance-based restricted stock/units.
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 3, 2015 grant of performance-based restricted stock/units.
Acquired pursuant to the Issuer's 1994 Stock Incentive Plan, as amended (now known as the Henry Schein, Inc. 2013 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 Michael S. Ettinger)
2018-03-06