SEC Form 4 · accession 0001209191-16-105689

HENRY SCHEIN INC · HSIC

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Director

Period of report

Mar 2, 2016

Accepted (ET)

Mar 3, 2016 · 6:17 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
Common Stock, par value $0.01 per share^F1	Mar 2, 2016	F	633	$168.93	D	16,830	D
Common Stock, par value $0.01 per share	Mar 2, 2016	S	3,837	$168.50	D	12,993	D
Common Stock, par value $0.01 per share	Mar 2, 2016	M	7,898	$59.89	A	20,891	D
Common Stock, par value $0.01 per share^F2	Mar 2, 2016	S	7,898	$168.63	D	12,993	D

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	$59.89	Mar 2, 2016	M	7,898	D	—	Mar 3, 2018	Common Stock, par value $0.01 per share	7,898	0	D

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 2, 2012 grant of time-based restricted stock/units.
F2The price reflects a weighted average of sales made at prices ranging from $168.50 to $168.78 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.
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 3, 2009, March 3, 2010, March 3, 2011 and March 3, 2012.