SEC Form 4 · accession 0001209191-16-123225
HENRY SCHEIN INC · HSIC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Paul Brons
Director
Period of report
May 23, 2016
Accepted (ET)
May 25, 2016 · 4:26 pm EDT
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 | May 23, 2016 | M | 6,000 | $59.89 | A | 20,378 | D | |
| Common Stock, par value $0.01 per shareF1 | May 23, 2016 | S | 3,282 | $169.91 | D | 17,096 | D |
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 | $59.89 | May 23, 2016 | M | 6,000 | D | — | Mar 3, 2018 | Common Stock, par value $0.01 per share | 6,000 | 1,898 | D |
Explanation of responses
- F1The price reflects a weighted average of sales made at prices ranging from $169.910 to $169.913 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 1996 Non-Employee Director Stock Incentive Plan, as amended (now known as the Issuer's 2015 Non-Employee Director Stock Incentive Plan).
- F3The option vests in four equal installments on each of March 3, 2009, March 3, 2010, March 3, 2011 and March 3, 2012.