0001209191-16-106710.txt : 20160307 0001209191-16-106710.hdr.sgml : 20160307 20160307174547 ACCESSION NUMBER: 0001209191-16-106710 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160304 FILED AS OF DATE: 20160307 DATE AS OF CHANGE: 20160307 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: LASKAWY PHILIP A CENTRAL INDEX KEY: 0001099296 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27078 FILM NUMBER: 161489686 MAIL ADDRESS: STREET 1: 667 MADISON AVE CITY: NEW YORK STATE: NY ZIP: 10021 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-03-04 0 0001000228 HENRY SCHEIN INC HSIC 0001099296 LASKAWY PHILIP A C/O HENRY SCHEIN, INC. 135 DURYEA ROAD MELVILLE NY 11747 1 0 0 0 Common Stock, par value $0.01 per share 2016-03-04 4 A 0 1103 0.00 A 17294 D Common Stock, par value $0.01 per share 2016-03-04 4 S 0 1317 166.88 D 15977 D Acquired pursuant to the Issuer's 2015 Non-Employee Director Stock Incentive Plan. Subject to certain exceptions, such restricted stock units will vest subject to (i) the passage of a specified period of time and (ii) the report person's continued performance of services for the Issuer. The price reflects a weighted average of sales made at prices ranging from $166.62 to $167.34 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/ Jennifer Ferrero (as Attorney-in-Fact for Philip A. Laskawy) 2016-03-07