SEC Form 4 · accession 0001209191-15-086371
HENRY SCHEIN INC · HSIC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Michael Racioppi
Officer — SVP Chief Merchandising Offic.
Period of report
Dec 17, 2015
Accepted (ET)
Dec 21, 2015 · 4:25 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 | Dec 17, 2015 | M | 9,901 | $51.23 | A | 38,200 | D | |
| Common Stock, par value $0.01 per shareF1 | Dec 17, 2015 | S | 9,901 | $155.918 | D | 28,299 | D | |
| Common Stock, par value $0.01 per share | holding | — | — | — | 297 | 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 BuyF2,F3 | $51.23 | Dec 17, 2015 | M | 9,901 | D | — | Mar 5, 2017 | Common Stock, par value $0.01 per share | 9,901 | 0 | D |
Explanation of responses
- F1The price reflects a weighted average of sales made at prices ranging from $155.40 to $156.31 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.
- F2Acquired pursuant to the Issuer's 1994 Stock Incentive Plan, as amended (now known as the Henry Schein, Inc. 2013 Stock Incentive Plan).
- F3The option vested in four equal installments on each of March 5, 2008, March 5, 2009, March 5, 2010 and March 5, 2011.