X0304 4 2011-11-15 0 0001000228 HENRY SCHEIN INC HSIC 0001008413 BERGMAN STANLEY M C/O HENRY SCHEIN, INC. 135 DURYEA ROAD MELVILLE NY 11747 1 1 0 0 Chairman, CEO Common Stock, par value $0.01 per share 2011-11-15 4 A 0 75688 64.86 A 169141 D Common Stock, par value $0.01 per share 2011-03-31 5 G 0 E 2554 0.00 D 166587 D Common Stock, par value $0.01 per share 2011-04-06 5 G 0 E 1492 0.00 D 165095 D Common Stock, par value $0.01 per share 2011-04-07 5 G 0 E 522 0.00 D 164573 D Common Stock, par value $0.01 per share 2011-05-10 5 G 0 E 5000 0.00 D 159573 D Common Stock, par value $0.01 per share 2011-05-18 5 G 0 E 827 0.00 D 158746 D Common Stock, par value $0.01 per share 2011-05-20 5 G 0 E 700 0.00 D 158046 D Common Stock, par value $0.01 per share 2011-06-08 5 G 0 E 734 0.00 D 157312 D Common Stock, par value $0.01 per share 2011-06-15 5 G 0 E 345 0.00 D 156967 D Common Stock, par value $0.01 per share 2011-08-11 5 G 0 E 420 0.00 D 156547 D Common Stock, par value $0.01 per share 2011-09-20 5 G 0 E 425 0.00 D 156122 D Common Stock, par value $0.01 per share 2011-10-20 5 G 0 E 400 0.00 D 155722 D Common Stock, par value $0.01 per share 2011-11-02 5 G 0 E 1500 0.00 D 154222 D Common Stock, par value $0.01 per share 2011-10-20 5 G 0 E 400 0.00 D 936905 I By Spouse Common Stock, par value $0.01 per share 10000 I By Trust Common Stock, par value $0.01 per share 4382 I By 401(k) Plan Grant of performance-based restricted stock units pursuant to the Issuer's 1994 Stock Incentive Plan, as amended. Such performance-based restricted stock units will vest subject to (x) the Issuer's achievement of a specified performance goal with respect to the five year period beginning on the Issuer's fiscal year commencing after the date of grant and (y) the reporting person's continued performance of services for the Issuer through December 31, 2016, except with respect to pro rata or full acceleration of the vesting in the event of certain termination events. Gift, not applicable. Represents (i) 936,512 shares held by the Bergman Family 2010 Trust 2, of which Marion Bergman, Stanley M. Bergman's wife, is a co-trustee and a beneficiary and (ii) 393 shares held by Mrs. Bergman. Represents 10,000 shares held by the Edward J. Bergman 2010 Trust for the benefit of one of Mr. Bergman's children and of which Mr. Bergman is the sole trustee. /s/ Stanley M. Bergman 2011-11-17