SEC Form 4 · accession 0001209191-15-081280

HENRY SCHEIN INC · HSIC

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Louis W Sullivan

Director

Period of report

Nov 17, 2015

Accepted (ET)

Nov 19, 2015 · 4:10 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
Common Stock, par value $0.01 per share	Nov 17, 2015	M	6,137	$47.31	A	25,545	D
Common Stock, par value $0.01 per share^F1	Nov 17, 2015	S	4,437	$153.95	D	21,108	D
Common Stock, par value $0.01 per share^F2	Nov 17, 2015	S	1,700	$154.58	D	19,408	D
Common Stock, par value $0.01 per share	Nov 17, 2015	M	7,540	$51.23	A	26,948	D
Common Stock, par value $0.01 per share^F3	Nov 17, 2015	S	5,240	$153.94	D	21,708	D
Common Stock, par value $0.01 per share^F4	Nov 17, 2015	S	2,300	$154.57	D	19,408	D
Common Stock, par value $0.01 per share^F5	Nov 17, 2015	S	1,241	$153.89	D	18,167	D
Common Stock, par value $0.01 per share^F6	Nov 17, 2015	S	704	$154.48	D	17,463	D

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^F7,F8	$47.31	Nov 17, 2015	M	6,137	D	—	Mar 2, 2016	Common Stock, par value $0.01 per share	6,137	0	D
Stock Option Right to Buy^F7,F9	$51.23	Nov 17, 2015	M	7,540	D	—	Mar 5, 2017	Common Stock, par value $0.01 per share	7,540	0	D

Explanation of responses

F1The price reflects a weighted average of sales made at prices ranging from $153.32 to $154.30 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 $154.32 to $155.04 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.
F3The price reflects a weighted average of sales made at prices ranging from $153.26 to $154.23 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.
F4The price reflects a weighted average of sales made at prices ranging from $154.26 to $155.05 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.
F5The price reflects a weighted average of sales made at prices ranging from $153.18 to $154.12 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.
F6The price reflects a weighted average of sales made at prices ranging from $154.27 to $155.02 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.
F7Acquired pursuant to the Issuer's 1996 Non-Employee Director Stock Incentive Plan (now known as the Issuer's 2015 Non-Employee Director Stock Incentive Plan).
F8The option vested in four equal installments on each of March 2, 2007, March 2, 2008, March 2, 2009 and March 2, 2010.
F9The option vested in four equal installments on each of March 5, 2008, March 5, 2009, March 5, 2010 and March 5, 2011.