SEC Form 4 · accession 0001209191-15-013510
HENRY SCHEIN INC · HSIC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Gerald A Benjamin
Officer — EVP, Chief Admin. Officer · Director
Period of report
Feb 12, 2015
Accepted (ET)
Feb 13, 2015 · 4:15 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001000228
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock, par value $0.01 per share | Feb 12, 2015 | M | 19,121 | $59.89 | A | 74,368 | D | |
| Common Stock, par value $0.01 per shareF1 | Feb 12, 2015 | S | 19,121 | $142.68 | D | 55,247 | D | |
| Common Stock, par value $0.01 per shareF2 | Feb 12, 2015 | S | 2,995 | $142.90 | D | 52,252 | D | |
| Common Stock, par value $0.01 per share | holding | — | — | — | 2,889 | I | By 401(k) Plan |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (Right to Buy)F3,F4 | $59.89 | Feb 12, 2015 | M | 19,121 | D | — | Mar 3, 2018 | Common Stock, par value $0.01 per share | 19,121 | 0 | D |
Explanation of responses
- F1The price reflects a weighted average of sales made at prices ranging from $142.49 to $142.92 per share. The Reporting Person, upon request by the Securities and Exchange Commission staff, the issuer, or a security holder of the issuer, will provide full information regarding the number of shares sold at each separate price for this transaction.
- F2The price reflects a weighted average of sales made at prices ranging from $142.87 to $142.98 per share. The Reporting Person, upon request by the Securities and Exchange Commission staff, the issuer, or a security holder of the issuer, will provide full information regarding the number of shares sold at each separate price for this transaction.
- F3Acquired pursuant to the Issuer's 1994 Stock Incentive Plan, as amended now known as the Issuer's 2013 Stock Incentive Plan.
- F4The option vests in four equal installments on each of March 3, 2009, March 3, 2010, March 3, 2011 and March 3, 2012.