0001209191-12-015734.txt : 20120305
0001209191-12-015734.hdr.sgml : 20120305
20120305171808
ACCESSION NUMBER: 0001209191-12-015734
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120301
FILED AS OF DATE: 20120305
DATE AS OF CHANGE: 20120305
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ZACK MICHAEL
CENTRAL INDEX KEY: 0001194355
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-27078
FILM NUMBER: 12667561
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: 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: 1226
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
X0304
4
2012-03-01
0
0001000228
HENRY SCHEIN INC
HSIC
0001194355
ZACK MICHAEL
C/O HENRY SCHEIN, INC.
135 DURYEA ROAD
MELVILLE
NY
11747
0
1
0
0
President of Int'l Group
Common Stock, par value $0.01 per share
2012-03-01
4
M
0
7000
35.49
A
54399
D
Common Stock, par value $0.01 per share
2012-03-01
4
S
0
7000
73.86
D
47399
D
Common Stock, par value $0.01 per share
2012-03-01
4
M
0
24000
39.43
A
71399
D
Common Stock, par value $0.01 per share
2012-03-01
4
S
0
24000
73.55
D
47399
D
Common Stock, par value $0.01 per share
2012-03-02
4
A
0
10257
73.12
A
57656
D
Common Stock, par value $0.01 per share
400
I
By Son
Common Stock, par value $0.01 per share
3553
I
By 401(k) plan
Stock Option (Right to Buy)
35.49
2012-03-01
4
M
0
7000
0.00
D
2014-02-18
Common Stock, par value $0.01 per share
7000
0
D
Stock Option (Right to Buy)
39.43
2012-03-01
4
M
0
24000
0.00
D
2015-03-09
Common Stock, par value $0.01 per share
24000
0
D
The price reflects a weighted average of sales made at prices ranging from $73.71 to $73.99 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.
The price reflects a weighted average of sales made at prices ranging from $73.06 to $74.04 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.
Grant of restricted stock units (RSUs) pursuant to the Issuer's 1994 Stock Incentive Plan, as amended. 65% will vest subject to (x) Issuer's achievement of a specified performance goal and (y) reporting person's continued performance of services for the Issuer. 35% will vest subject to (x) passage of a specified period of time and (y) reporting person's continued performance of services for the Issuer. With respect to the performance-based RSUs, 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 (i.e., shortfall).
Acquired pursuant to the Issuer's 1994 Stock Incentive Plan, as amended.
The option vests in four equal installments on each of February 18, 2005, February 18, 2006, February 18, 2007 and February 18, 2008.
The option vests in four equal installments on each of March 9, 2006, March 9, 2007, March 9, 2008 and March 9, 2009.
/s/ Michael Zack
2012-03-05