SEC Form 4 · accession 0001209191-16-155233
HENRY SCHEIN INC · HSIC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Walter Siegel
Officer — Senior VP & General Counsel
Period of report
Dec 13, 2016
Accepted (ET)
Dec 14, 2016 · 5:43 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 | Dec 13, 2016 | D | 22 | $0.00 | D | 10,568 | D | |
| Common Stock, par value $0.01 per shareF1 | Dec 13, 2016 | F | 206 | $153.49 | D | 10,362 | D |
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 December 13, 2013 grant of performance-based restricted stock.