0001209191-23-059459.txt : 20231221
0001209191-23-059459.hdr.sgml : 20231221
20231221170748
ACCESSION NUMBER: 0001209191-23-059459
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231220
FILED AS OF DATE: 20231221
DATE AS OF CHANGE: 20231221
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MLOTEK MARK E
CENTRAL INDEX KEY: 0001194352
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-27078
FILM NUMBER: 231506104
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]
ORGANIZATION NAME: 07 Trade & Services
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
X0508
4
2023-12-20
0
0001000228
HENRY SCHEIN INC
HSIC
0001194352
MLOTEK MARK E
C/O HENRY SCHEIN, INC.
135 DURYEA ROAD
MELVILLE
NY
11747
1
1
0
0
EVP, Chief Strategic Officer
0
Common Stock, par value $0.01 per share
2023-12-20
4
G
0
743
0.00
D
67895
D
Common Stock, par value $0.01 per share
2100
I
As Trustee of trusts for the benefit of family members.
Common Stock, par value $0.01 per share
4088
I
By 401(k) plan
Gift, not applicable.
Includes shares of Issuer's common stock held in joint tenancy with reporting person's spouse (the "Joint Account") and reflects the transfer on December 21, 2023 of 500 shares from the Joint Account to the trusts for the benefit of family members where Mr. Mlotek is a trustee (the "Trusts").
The amount in Column 5 reflects the transfer of 500 shares from the Joint Account to the Trusts on December 21, 2023.
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 December 19, 2023.
/s/ Jennifer Ferrero (as Attorney-in-Fact for Mark E. Mlotek)
2023-12-21