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