0001209191-17-019213.txt : 20170308 0001209191-17-019213.hdr.sgml : 20170308 20170308160151 ACCESSION NUMBER: 0001209191-17-019213 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170306 FILED AS OF DATE: 20170308 DATE AS OF CHANGE: 20170308 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: ALPERIN BARRY J CENTRAL INDEX KEY: 0001194358 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27078 FILM NUMBER: 17675107 MAIL ADDRESS: STREET 1: C/O HENRY SCHEIN INC STREET 2: 135 DURYEA RD CITY: MELVILLE STATE: NY ZIP: 11747 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-03-06 0 0001000228 HENRY SCHEIN INC HSIC 0001194358 ALPERIN BARRY J C/O HENRY SCHEIN, INC. 135 DURYEA ROAD MELVILLE NY 11747 1 0 0 0 Common Stock, par value $0.01 per share 2017-03-06 4 A 0 1084 0.00 A 22753 D Common Stock, par value $0.01 per share 2017-03-06 4 S 0 1565 170.46 D 21188 D Common Stock, par value $0.01 per share 2017-03-06 4 M 0 5000 59.89 A 26188 D Common Stock, par value $0.01 per share 2017-03-06 4 S 0 5000 170.49 D 21188 D Stock Option Right to Buy 59.89 2017-03-06 4 M 0 5000 0.00 D 2018-03-03 Common Stock, par value $0.01 per share 5000 2898 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 $170.381 to $170.510 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 $170.30 to $170.82 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. Acquired pursuant to the Issuer's 1996 Non-Employee Director Stock Incentive Plan, as amended. The option vests in four equal installments on each of March 3, 2009, March 3, 2010, March 3, 2011 and March 3, 2012. /s/ Jennifer Ferrero (as Attorney-in-Fact for Barry J. Alperin) 2017-03-08