0001209191-22-020155.txt : 20220318
0001209191-22-020155.hdr.sgml : 20220318
20220318200512
ACCESSION NUMBER: 0001209191-22-020155
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220316
FILED AS OF DATE: 20220318
DATE AS OF CHANGE: 20220318
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Serota Scott Philip
CENTRAL INDEX KEY: 0001898921
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-27078
FILM NUMBER: 22753970
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: 1231
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
2022-03-16
0
0001000228
HENRY SCHEIN INC
HSIC
0001898921
Serota Scott Philip
C/O HENRY SCHEIN, INC.
135 DURYEA ROAD
MELVILLE
NY
11747
1
0
0
0
Common Stock, par value $0.01 per share
2022-03-16
4
A
0
2028
0.00
A
2028
D
Common Stock, par value $0.01 per share
1000
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 by the Serota Family Trust, dated May 24, 2013 of which Mr. Serota and his wife are both the trustees and beneficiaries.
/s/ Jennifer Ferrero (as Attorney-in-Fact for Scott P. Serota)
2022-03-18