0001209191-19-016465.txt : 20190305
0001209191-19-016465.hdr.sgml : 20190305
20190305162115
ACCESSION NUMBER: 0001209191-19-016465
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190301
FILED AS OF DATE: 20190305
DATE AS OF CHANGE: 20190305
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: 19658659
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: 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
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2019-03-01
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
2019-03-01
4
F
0
790
60.07
D
45038
D
Common Stock, par value $0.01 per share
2019-03-01
4
F
0
731
60.07
D
44307
D
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 2, 2018 grant of time-based restricted stock/units. (Actual vesting date of March 2, 2019 was a non-business day so vesting occurred on the preceding business day.)
The number of restricted stock/units included in Column 5 of Table 1 was adjusted in connection with the spin-off and subsequent merger of the Issuer's animal health business on February 7, 2019 (the "Spin-Off"). The adjustment reflects the product of (i) the number of restricted stock/unit awards immediately prior to the Spin-Off and (ii) a ratio equal to a fraction, with the numerator equal to the average of the high and low pre-Spin-Off trading prices of the Issuer's common stock on February 6, 2019 (the "Issuer Pre-Spin-Off Price") and the denominator equal to the difference between (A) the Issuer Pre-Spin-Off Price and (B) the product of (x) 0.4 and (y) the average of the high and low trading prices of the common stock of Covetrus, Inc. (the combined company resulting from the Spin-Off) on February 8, 2019, the trading day immediately following the distribution date of the Spin-Off.
Represents the surrender of shares to the Issuer to satisfy the reporting person's tax withholding obligation upon the distribution of the reporting person's March 3, 2015 grant of time-based restricted stock/units, which vested on March 3, 2016 but, per the reporting person's election, was deferred until March 3, 2019. (March 3, 2019 was a non-business day, so distribution of the shares was made on the preceding business day.)
/s/ Jennifer Ferrero (as Attorney-in-Fact for Barry J. Alperin)
2019-03-05