SEC Form 4 · accession 0001209191-15-079324
HENRY SCHEIN INC · HSIC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Paul Rose
Officer — SVP, Global Supply Chain
Period of report
Nov 9, 2015
Accepted (ET)
Nov 10, 2015 · 4:55 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 | Nov 9, 2015 | M | 1,477 | $51.23 | A | 20,700 | D | |
| Common Stock, par value $0.01 per shareF1 | Nov 9, 2015 | S | 1,477 | $151.99 | D | 19,223 | D | |
| Common Stock, par value $0.01 per share | Nov 9, 2015 | M | 2,161 | $59.89 | A | 21,384 | D | |
| Common Stock, par value $0.01 per shareF2 | Nov 9, 2015 | S | 2,061 | $151.84 | D | 19,323 | D | |
| Common Stock, par value $0.01 per share | Nov 9, 2015 | S | 100 | $152.39 | D | 19,223 | D | |
| Common Stock, par value $0.01 per share | holding | — | — | — | 811 | 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 BuyF3,F4 | $51.23 | Nov 9, 2015 | M | 1,477 | D | — | Mar 5, 2017 | Common Stock par value $0.01 per share | 1,477 | 0 | D |
| Stock Option Right to BuyF3,F5 | $59.89 | Nov 9, 2015 | M | 2,161 | D | — | Mar 3, 2018 | Common Stock par value $0.01 per share | 2,161 | 7,424 | D |
Explanation of responses
- F1The price reflects a weighted average of sales made at prices ranging from $151.78 to $152.27 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 $151.35 to $152.27 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 vested in four equal installments on each of March 5, 2008, March 5, 2009, March 5, 2010 and March 5, 2011.
- F5The option vests in four equal installments on each of March 3, 2009, March 3, 2010, March 3, 2011 and March 3, 2012.