0001209191-15-084803.txt : 20151211
0001209191-15-084803.hdr.sgml : 20151211
20151211181215
ACCESSION NUMBER: 0001209191-15-084803
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20151209
FILED AS OF DATE: 20151211
DATE AS OF CHANGE: 20151211
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: BERGMAN STANLEY M
CENTRAL INDEX KEY: 0001008413
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-27078
FILM NUMBER: 151284230
MAIL ADDRESS:
STREET 1: C/O HENRY SCHEIN INC
STREET 2: 135 DURYEA ROAD
CITY: MELVILLE
STATE: NY
ZIP: 11747
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2015-12-09
0
0001000228
HENRY SCHEIN INC
HSIC
0001008413
BERGMAN STANLEY M
C/O HENRY SCHEIN, INC.
135 DURYEA ROAD
MELVILLE
NY
11747
1
1
0
0
Chairman, CEO
Common Stock, par value $0.01 per share
2015-12-09
4
S
0
6589
154.77
D
553482
I
By Spouse
Common Stock, par value $0.01 per share
2015-12-09
4
S
0
4510
155.11
D
548972
I
By Spouse
Common Stock, par value $0.01 per share
2015-12-09
4
S
0
6301
157.44
D
542671
I
By Spouse
Common Stock, par value $0.01 per share
2015-12-09
4
S
0
8179
154.81
D
57829
I
By Limited Liability Company
Common Stock, par value $0.01 per share
2015-12-09
4
S
0
3485
155.11
D
54344
I
By Limited Liability Company
Common Stock, par value $0.01 per share
2015-12-09
4
S
0
6736
157.44
D
47608
I
By Limited Liability Company
Common Stock, par value $0.01 per share
2015-12-10
4
S
0
11000
154.84
D
531671
I
By Spouse
Common Stock, par value $0.01 per share
2015-12-10
4
S
0
2000
155.49
D
529671
I
By Spouse
Common Stock, par value $0.01 per share
2015-12-10
4
S
0
11050
154.83
D
36558
I
By Limited Liability Company
Common Stock, par value $0.01 per share
2015-12-10
4
S
0
1950
155.52
D
34608
I
By Limited Liability Company
Common Stock, par value $0.01 per share
2015-03-12
5
G
0
E
6034
0.00
D
161156
D
Common Stock, par value $0.01 per share
2015-03-19
5
G
0
E
1438
0.00
D
159718
D
Common Stock, par value $0.01 per share
2015-03-20
5
G
0
E
252
0.00
D
159466
D
Common Stock, par value $0.01 per share
2015-04-06
5
G
0
E
363
0.00
D
159103
D
Common Stock, par value $0.01 per share
2015-04-15
5
G
0
E
182
0.00
D
158921
D
Common Stock, par value $0.01 per share
2015-05-13
5
G
0
E
178
0.00
D
158743
D
Common Stock, par value $0.01 per share
2015-06-02
5
G
0
E
175
0.00
D
158568
D
Common Stock, par value $0.01 per share
2015-06-08
5
G
0
E
844
0.00
D
157724
D
Common Stock, par value $0.01 per share
2015-08-03
5
G
0
E
2160
0.00
D
155564
D
Common Stock, par value $0.01 per share
2015-08-03
5
G
0
E
9255
0.00
D
520416
I
By Spouse
Common Stock, par value $0.01 per share
2015-08-04
5
G
0
E
1038
0.00
D
154526
D
Common Stock, par value $0.01 per share
2015-08-11
5
G
0
E
360
0.00
D
154166
D
Common Stock, par value $0.01 per share
2015-09-18
5
G
0
E
195
0.00
D
153971
D
Common Stock, par value $0.01 per share
2015-10-13
5
G
0
E
386
0.00
D
153585
D
Common Stock, par value $0.01 per share
2015-11-17
5
G
0
E
659
0.00
D
152926
D
Common Stock, par value $0.01 per share
4391
I
by 401(k) plan
The price reflects a weighted average of sales made at prices ranging from $154.50 to $155.04 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.
Represents (i) 553,350 shares held by the Bergman Family 2010 Trust 2, of which Marion Bergman, Stanley M. Bergman's wife, is a co-trustee and a beneficiary and (ii) 132 shares held by Mrs. Bergman.
The price reflects a weighted average of sales made at prices ranging from $155.05 to $155.35 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.
Represents (i) 548,840 shares held by the Bergman Family 2010 Trust 2, of which Marion Bergman, Stanley M. Bergman's wife, is a co-trustee and a beneficiary and (ii) 132 shares held by Mrs. Bergman.
The price reflects a weighted average of sales made at prices ranging from $157.00 to $157.91 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.
Represents (i) 542,539 shares held by the Bergman Family 2010 Trust 2, of which Marion Bergman, Stanley M. Bergman's wife, is a co-trustee and a beneficiary and (ii) 132 shares held by Mrs. Bergman.
Represents shares held by a limited liability company. Stanley M. Bergman and Marion Bergman, Mr. Bergman's wife, each have voting and dispositive power with respect to the shares held by the limited liability company. Mr. and Mrs. Bergman disclaim beneficial ownership of the shares held by the limited liability company.
The price reflects a weighted average of sales made at prices ranging from $155.05 to $155.38 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 $154.35 to $155.30 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.
Represents (i) 531,539 shares held by the Bergman Family 2010 Trust 2, of which Marion Bergman, Stanley M. Bergman's wife, is a co-trustee and a beneficiary and (ii) 132 shares held by Mrs. Bergman.
The price reflects a weighted average of sales made at prices ranging from $155.31 to $155.83 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.
Represents (i) 529,539 shares held by the Bergman Family 2010 Trust 2, of which Marion Bergman, Stanley M. Bergman's wife, is a co-trustee and a beneficiary and (ii) 132 shares held by Mrs. Bergman.
The price reflects a weighted average of sales made at prices ranging from $154.36 to $155.30 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 $155.34 to $155.65 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.
Gift, not applicable.
Represents (i) 520,284 shares held by the Bergman Family 2010 Trust 2, of which Marion Bergman, Stanley M. Bergman's wife, is a co-trustee and a beneficiary and (ii) 132 shares held by Mrs. Bergman. On August 3, 2015, the Bergman Family Trust 2 transferred 9,255 shares to Mrs. Bergman which is reflected in the number in Column 5 of this line item.
/s/ Jennifer Ferrero (as Attorney-in-Fact for Stanley M. Bergman)
2015-12-11