SEC Form 4 · accession 0001209191-16-105671
HENRY SCHEIN INC · HSIC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Mark E Mlotek
Officer — EVP, Chief Strategic Officer · Director
Period of report
Mar 1, 2016
Accepted (ET)
Mar 3, 2016 · 6:08 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 $.01 per share | Mar 1, 2016 | D | 244 | $0.00 | D | 45,149 | D | |
| Common Stock, par value $.01 per shareF1 | Mar 1, 2016 | F | 2,690 | $170.16 | D | 42,459 | D | |
| Common Stock, par value $.01 per shareF2 | Mar 2, 2016 | F | 2,938 | $168.93 | D | 39,521 | D | |
| Common Stock, par value $.01 per shareF3 | Mar 2, 2016 | S | 4,982 | $167.93 | D | 34,539 | D | |
| Common Stock, par value $.01 per share | holding | — | — | — | 2,042 | I | By 401(k) plan |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Represents the surrender of shares to the Issuer to satisfy the reporting person's tax withholding obligation upon the vesting of the reporting person's March 1, 2013 grant of performance-based restricted stock/units.
- F2Represents the surrender of shares to the Issuer to satisfy the reporting person's tax withholding obligation upon the vesting of the reporting person's March 2, 2012 grant of time-based restricted stock/units.
- F3The price reflects a weighted average of sales made at prices ranging from $167.93 to $167.94 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.