-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, NlmDkqqBlXmEA9oJe40VkzY+0EPX9GxSh/5w63+dEP+AcBmvOo77nkjSvPDppPb/ 2PzbNxXA1jV0HyuEB5NSwA== 0001179110-03-010531.txt : 20031112 0001179110-03-010531.hdr.sgml : 20031111 20031112135927 ACCESSION NUMBER: 0001179110-03-010531 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031111 FILED AS OF DATE: 20031112 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MLOTEK MARK E CENTRAL INDEX KEY: 0001194352 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27078 FILM NUMBER: 03992816 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: SCHEIN HENRY INC CENTRAL INDEX KEY: 0001000228 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-CATALOG & MAIL-ORDER HOUSES [5961] 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: 6318425500X6867 MAIL ADDRESS: STREET 1: 135 DURYEA RD CITY: MELVILLE STATE: NY ZIP: 11747 4 1 edgar.xml FORM 4 - X0201 4 2003-11-11 0 0001000228 SCHEIN HENRY INC HSIC 0001194352 MLOTEK MARK E C/O HENRY SCHEIN, INC. 135 DURYEA ROAD MELVILLE NY 11747 1 1 0 0 Senior Vice President Common Stock 2003-11-11 4 M 0 1975 16 A 3987 D Common Stock 2003-11-11 4 M 0 3483 21.5 A 7470 D Common Stock 2003-11-11 4 M 0 4000 11.8125 A 11470 D Common Stock 2003-11-11 4 S 0 9458 64.48510 D 2012 D Stock Option (right to buy) 16 2003-11-11 4 M 0 1975 0 D 2005-11-02 Common Stock 1975 0 D Stock Option (right to buy) 21.5 2003-11-11 4 M 0 3483 0 D 2009-04-06 Common Stock 3483 10517 D Stock Option (right to buy) 11.8125 2003-11-11 4 M 0 4000 0 D 2009-12-15 Common Stock 4000 0 D The option vested in three equal installments on November 2, 1996, November 2, 1997 and November 2, 1998. The option vested in three equal installments on April 6, 2000, April 6, 2001 and April 6, 2002. The option vested in three equal installments on December 15, 2000, December 15, 2001 and December 15, 2002. /s/ Mark E. Mlotek 2003-11-12 -----END PRIVACY-ENHANCED MESSAGE-----