0001209191-11-015930.txt : 20110307
0001209191-11-015930.hdr.sgml : 20110307
20110307163758
ACCESSION NUMBER: 0001209191-11-015930
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110303
FILED AS OF DATE: 20110307
DATE AS OF CHANGE: 20110307
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: 11669166
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
X0303
4
2011-03-03
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
2011-03-03
4
M
0
25000
35.49
A
66989
D
Common Stock, par value $0.01 per share
2011-03-03
4
S
0
25000
69.44
D
41989
D
Common Stock, par value $0.01 per share
2011-03-03
4
D
0
3306
0.00
D
38683
D
Common Stock, par value $0.01 per share
2011-03-03
4
F
0
643
69.60
D
38040
D
Common Stock, par value $0.01 per share
400
I
By Son
Common Stock, par value $0.01 per share
3450
I
By 401(k) plan
Stock Option (Right to Buy)
35.49
2011-03-03
4
M
0
25000
0.00
D
2014-02-18
Common Stock, par value $0.01 per share
25000
7000
D
The price reflects a weighted average of sales made at prices ranging from $69.31 to $69.73 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 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, 2008 grant of performance-based restricted stock.
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.
/s/ Michael Zack
2011-03-07