SEC Form 4 · accession 0001209191-17-015298
HENRY SCHEIN INC · HSIC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Donald J Kabat
Director
Period of report
Feb 27, 2017
Accepted (ET)
Feb 28, 2017 · 4:28 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 27, 2017 | M | 7,540 | $51.23 | A | 10,729 | D | |
| Common Stock, par value $0.01 per shareF1 | Feb 27, 2017 | S | 4,334 | $173.62 | D | 6,395 | D | |
| Common Stock, par value $0.01 per shareF2 | holding | — | — | — | 6,000 | I | By Trustees |
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 BuyF3,F4 | $51.23 | Feb 27, 2017 | M | 7,540 | D | — | Mar 5, 2017 | Common Stock, par value $0.01 per share | 7,540 | 0 | D |
Explanation of responses
- F1The price reflects a weighted average of sales made at prices ranging from $173.56 to $173.64 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.
- F2Represents shares held in a trust where Mr. Kabat and his wife are co-trustees of the trust for the benefit of Mr. Kabat's wife.
- F3Acquired pursuant to the Issuer's 1996 Non-Employee Director Stock Incentive Plan, as amended.
- F4The option vested in four equal installments on each of March 5, 2008, March 5, 2009, March 5, 2010 and March 5, 2011.