SEC Form 4 · accession 0001209191-16-098025
HENRY SCHEIN INC · HSIC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Donald J Kabat
Director
Period of report
Feb 11, 2016
Accepted (ET)
Feb 12, 2016 · 4:06 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 | Feb 11, 2016 | M | 6,637 | $47.31 | A | 12,575 | D | |
| Common Stock, par value $0.01 per shareF1 | Feb 11, 2016 | S | 6,637 | $156.36 | D | 5,938 | D | |
| Common Stock, par value $0.01 per shareF2 | holding | — | — | — | 4,652 | I | By Trustees |
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)F3,F4 | $47.31 | Feb 11, 2016 | M | 6,637 | D | — | Mar 2, 2016 | Common Stock, par value $0.01 per share | 6,637 | 0 | D |
Explanation of responses
- F1The price reflects a weighted average of sales made at prices ranging from $156.00 to $156.84 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.
- F2Represents shares held by Mr. Kabat and his wife, as co-trustees of a trust for the benefit of Mr. Kabat's wife.
- F3Acquired pursuant to the Issuer's 1996 Non-Employee Director Stock Incentive Plan, as amended (now known as the Issuer's 2015 Non-Employee Director Stock Incentive Plan).
- F4The option vests in four equal installments on each of March 2, 2007, March 2, 2008, March 2, 2009 and March 2, 2010.
Remarks
Exhibit 24 - Power of Attorney