0001209191-18-037247.txt : 20180612
0001209191-18-037247.hdr.sgml : 20180612
20180612163121
ACCESSION NUMBER: 0001209191-18-037247
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180608
FILED AS OF DATE: 20180612
DATE AS OF CHANGE: 20180612
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: GOODMAN SHIRA
CENTRAL INDEX KEY: 0001199915
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-27078
FILM NUMBER: 18894810
MAIL ADDRESS:
STREET 1: 40 MONTROSE STREET
CITY: NEWTON CENTRE
STATE: MA
ZIP: 02159
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: 1230
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
X0306
4
2018-06-08
0
0001000228
HENRY SCHEIN INC
HSIC
0001199915
GOODMAN SHIRA
C/O HENRY SCHEIN, INC.
135 DURYEA ROAD
MELVILLE
NY
11747
1
0
0
0
Common Stock, par value $0.01 per share
2018-06-08
4
A
0
2570
0.00
A
2570
D
Common Stock, par value $0.01 per share
1070
I
By trust
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 reporting person's continued performance of services for the Issuer.
Represents shares held in the Shira D. Goodman 2104 Family Trust where Ms. Goodman is the trustee for the benefit of herself and her spouse.
/s/ Jennifer Ferrero (as Attorney-in-Fact for Shira Goodman)
2018-06-12