SEC Form 5 · accession 0001209191-16-095347
HENRY SCHEIN INC · HSIC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Donald J Kabat
Director
Period of report
Dec 26, 2015
Accepted (ET)
Feb 3, 2016 · 4:53 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 | Apr 17, 2015 | G | 1,171 | $0.00 | D | 5,938 | D | |
| Common Stock, par value $0.01 per shareF2 | holding | — | — | — | 4,652 | I | By Trustees |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Gift, not applicable.
- F2Represents shares held in a trust where Mr. Kabat and his wife are co-trustees of the trust for the benefit of Mr. Kabat's wife. On April 17, 2015, Mr. Kabat transferred 1,171 shares to the trust which is reflected in the number in Column 5 of this line item.