0001209191-21-018222.txt : 20210305 0001209191-21-018222.hdr.sgml : 20210305 20210305163237 ACCESSION NUMBER: 0001209191-21-018222 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210303 FILED AS OF DATE: 20210305 DATE AS OF CHANGE: 20210305 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BENJAMIN GERALD A CENTRAL INDEX KEY: 0001194346 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27078 FILM NUMBER: 21718925 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: 1226 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 2021-03-03 0 0001000228 HENRY SCHEIN INC HSIC 0001194346 BENJAMIN GERALD A C/O HENRY SCHEIN, INC. 135 DURYEA ROAD MELVILLE NY 11747 1 1 0 0 EVP, Chief Admin. Officer Common Stock, par value $0.01 per share 2021-03-03 4 A 0 15503 0.00 A 115625 D Common Stock, par value $0.01 per share 2021-03-03 4 A 0 8832 0.00 A 124457 D Common Stock, par value $0.01 per share 5787 I by 401(k) plan Stock Option (Right to Buy) 62.71 2021-03-03 4 A 0 38350 0.00 A 2031-03-03 Common Stock, par value $0.01 per share 38350 38350 D Grant of restricted stock units (RSU) pursuant to the Issuer's 2020 Stock Incentive Plan. Subject to certain exceptions, the RSUs will vest on the fourth anniversary of the grant date, subject to reporting person's continued performance of services for the Issuer. Grant of restricted stock units (RSU) pursuant to the Issuer's 2020 Stock Incentive Plan. Subject to certain exceptions, the RSUs will vest in two equal installments on each of the first and second anniversary of the grant date, subject to reporting person's continued performance of services for the Issuer. Reflects the reporting person's interest in equivalent shares of Henry Schein common stock held by the unitized stock fund in the Henry Schein, Inc. 401(k) Savings Plan (the "Plan"). The unitized stock fund consists of Henry Schein common stock and cash or cash equivalents. The number of shares attributed to the reporting person as a participant in the Plan and expressed as equivalent shares has been calculated based on the closing price of Henry Schein common stock on March 3, 2021. Acquired pursuant to the Issuer's 2020 Stock Incentive Plan. Subject to certain exceptions, the options will vest in three equal installments on each of the first, second and third anniversary of the grant date, subject to reporting person's continued performance of services for the Issuer. /s/ Jennifer Ferrero (as Attorney-in-Fact for Gerald A. Benjamin) 2021-03-05