0001209191-12-056784.txt : 20121211 0001209191-12-056784.hdr.sgml : 20121211 20121211110147 ACCESSION NUMBER: 0001209191-12-056784 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121210 FILED AS OF DATE: 20121211 DATE AS OF CHANGE: 20121211 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: 121255258 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: 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 2012-12-10 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 2012-12-10 4 S 0 6474 80.28 D 52579 D Common Stock, par value $0.01 per share 400 I By son Common Stock, par value $0.01 per share 3551 I By 401(k) Plan The price reflects a weighted average of sales made at prices ranging from $80.10 to $80.47 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. /s/ Michael Zack 2012-12-11