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