SEC Form 4 · accession 0001209191-15-084803
HENRY SCHEIN INC · HSIC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Stanley M Bergman
Officer — Chairman, CEO · Director
Period of report
Dec 9, 2015
Accepted (ET)
Dec 11, 2015 · 6:12 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 shareF1,F2 | Dec 9, 2015 | S | 6,589 | $154.77 | D | 553,482 | I | By Spouse |
| Common Stock, par value $0.01 per shareF3,F4 | Dec 9, 2015 | S | 4,510 | $155.11 | D | 548,972 | I | By Spouse |
| Common Stock, par value $0.01 per shareF5,F6 | Dec 9, 2015 | S | 6,301 | $157.44 | D | 542,671 | I | By Spouse |
| Common Stock, par value $0.01 per shareF1,F7 | Dec 9, 2015 | S | 8,179 | $154.81 | D | 57,829 | I | By Limited Liability Company |
| Common Stock, par value $0.01 per shareF8,F7 | Dec 9, 2015 | S | 3,485 | $155.11 | D | 54,344 | I | By Limited Liability Company |
| Common Stock, par value $0.01 per shareF5,F7 | Dec 9, 2015 | S | 6,736 | $157.44 | D | 47,608 | I | By Limited Liability Company |
| Common Stock, par value $0.01 per shareF9,F10 | Dec 10, 2015 | S | 11,000 | $154.84 | D | 531,671 | I | By Spouse |
| Common Stock, par value $0.01 per shareF11,F12 | Dec 10, 2015 | S | 2,000 | $155.49 | D | 529,671 | I | By Spouse |
| Common Stock, par value $0.01 per shareF13,F7 | Dec 10, 2015 | S | 11,050 | $154.83 | D | 36,558 | I | By Limited Liability Company |
| Common Stock, par value $0.01 per shareF14,F7 | Dec 10, 2015 | S | 1,950 | $155.52 | D | 34,608 | I | By Limited Liability Company |
| Common Stock, par value $0.01 per shareF15 | Mar 12, 2015 | G | 6,034 | $0.00 | D | 161,156 | D | |
| Common Stock, par value $0.01 per shareF15 | Mar 19, 2015 | G | 1,438 | $0.00 | D | 159,718 | D | |
| Common Stock, par value $0.01 per shareF15 | Mar 20, 2015 | G | 252 | $0.00 | D | 159,466 | D | |
| Common Stock, par value $0.01 per shareF15 | Apr 6, 2015 | G | 363 | $0.00 | D | 159,103 | D | |
| Common Stock, par value $0.01 per shareF15 | Apr 15, 2015 | G | 182 | $0.00 | D | 158,921 | D | |
| Common Stock, par value $0.01 per shareF15 | May 13, 2015 | G | 178 | $0.00 | D | 158,743 | D | |
| Common Stock, par value $0.01 per shareF15 | Jun 2, 2015 | G | 175 | $0.00 | D | 158,568 | D | |
| Common Stock, par value $0.01 per shareF15 | Jun 8, 2015 | G | 844 | $0.00 | D | 157,724 | D | |
| Common Stock, par value $0.01 per shareF15 | Aug 3, 2015 | G | 2,160 | $0.00 | D | 155,564 | D | |
| Common Stock, par value $0.01 per shareF15,F16 | Aug 3, 2015 | G | 9,255 | $0.00 | D | 520,416 | I | By Spouse |
| Common Stock, par value $0.01 per shareF15 | Aug 4, 2015 | G | 1,038 | $0.00 | D | 154,526 | D | |
| Common Stock, par value $0.01 per shareF15 | Aug 11, 2015 | G | 360 | $0.00 | D | 154,166 | D | |
| Common Stock, par value $0.01 per shareF15 | Sep 18, 2015 | G | 195 | $0.00 | D | 153,971 | D | |
| Common Stock, par value $0.01 per shareF15 | Oct 13, 2015 | G | 386 | $0.00 | D | 153,585 | D | |
| Common Stock, par value $0.01 per shareF15 | Nov 17, 2015 | G | 659 | $0.00 | D | 152,926 | D | |
| Common Stock, par value $0.01 per share | holding | — | — | — | 4,391 | I | by 401(k) plan |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1The price reflects a weighted average of sales made at prices ranging from $154.50 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.
- F10Represents (i) 531,539 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) 132 shares held by Mrs. Bergman.
- F11The price reflects a weighted average of sales made at prices ranging from $155.31 to $155.83 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.
- F12Represents (i) 529,539 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) 132 shares held by Mrs. Bergman.
- F13The price reflects a weighted average of sales made at prices ranging from $154.36 to $155.30 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.
- F14The price reflects a weighted average of sales made at prices ranging from $155.34 to $155.65 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.
- F15Gift, not applicable.
- F16Represents (i) 520,284 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) 132 shares held by Mrs. Bergman. On August 3, 2015, the Bergman Family Trust 2 transferred 9,255 shares to Mrs. Bergman which is reflected in the number in Column 5 of this line item.
- F2Represents (i) 553,350 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) 132 shares held by Mrs. Bergman.
- F3The price reflects a weighted average of sales made at prices ranging from $155.05 to $155.35 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.
- F4Represents (i) 548,840 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) 132 shares held by Mrs. Bergman.
- F5The price reflects a weighted average of sales made at prices ranging from $157.00 to $157.91 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.
- F6Represents (i) 542,539 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) 132 shares held by Mrs. Bergman.
- F7Represents shares held by a limited liability company. Stanley M. Bergman and Marion Bergman, Mr. Bergman's wife, each have voting and dispositive power with respect to the shares held by the limited liability company. Mr. and Mrs. Bergman disclaim beneficial ownership of the shares held by the limited liability company.
- F8The price reflects a weighted average of sales made at prices ranging from $155.05 to $155.38 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.
- F9The price reflects a weighted average of sales made at prices ranging from $154.35 to $155.30 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.