SEC Form 4 · accession 0001209191-17-013813

HENRY SCHEIN INC · HSIC

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

Reporting owner

Officer — SVP, Global Supply Chain

Period of report

Feb 22, 2017

Accepted (ET)

Feb 23, 2017 · 4:40 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 22, 2017	M	5,394	$59.89	A	24,674	D
Common Stock, par value $0.01 per share^F1	Feb 22, 2017	S	5,394	$173.28	D	19,280	D
Common Stock, par value $0.01 per share^F2	Feb 22, 2017	S	1,427	$173.10	D	17,853	D
Common Stock, par value $0.01 per share	holding	—	—		—	811	I	By 401(k) plan

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	Feb 22, 2017	M	5,394	D	—	Mar 3, 2018	Common Stock, par value $0.01 per share	5,394	0	D

F1The price reflects a weighted average of sales made at prices ranging from $172.710 to $173.685 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.
F2The price reflects a weighted average of sales made at prices ranging from $172.710 to $173.420 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 1994 Stock Incentive Plan, as amended (now known as the Henry Schein, Inc. 2013 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.