0001209191-18-052820.txt : 20181001
0001209191-18-052820.hdr.sgml : 20181001
20181001165109
ACCESSION NUMBER: 0001209191-18-052820
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180928
FILED AS OF DATE: 20181001
DATE AS OF CHANGE: 20181001
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Margulies Anne H.
CENTRAL INDEX KEY: 0001743156
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-27078
FILM NUMBER: 181098153
MAIL ADDRESS:
STREET 1: C/O HENRY SCHEIN, INC.
STREET 2: 135 DURYEA ROAD
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: 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
2018-09-28
0
0001000228
HENRY SCHEIN INC
HSIC
0001743156
Margulies Anne H.
C/O HENRY SCHEIN, INC.
135 DURYEA ROAD
MELVILLE
NY
11747
1
0
0
0
Common Stock, par value $0.01 per share
2570
D
Deferred Compensation Plan Phantom Stock
2018-09-28
4
A
0
241
0.00
A
Common Stock, par value $0.01 per share
241
330
D
Each share of phantom stock is the economic equivalent of one share of the Issuer's common stock.
Represents the number of shares of phantom stock credited to the reporting person's phantom stock account pursuant to the Issuer's Non-Employee Director Deferred Compensation Plan (the "Plan"), representing an exempt transaction under the Plan. The number of shares of phantom stock credited to the reporting person's phantom stock account is determined by dividing the amount of deferred eligible director fees by the closing price of a share of Issuer common stock on the award date.
The balance in the reporting person's phantom share account is distributed to the reporting person in Issuer common stock following the termination of the reporting person's directorship, the reporting person's death or disability or a change of control of the Issuer.
Represents the aggregate number of shares of phantom stock allocated to the reporting person under the Plan as of the award date based on the closing price of a share of the Issuer's common stock on the award date.
/s/ Jennifer Ferrero (as Attorney-in-Fact for Anne H. Margulies)
2018-10-01