SEC Form 4 · accession 0001209191-17-019213
HENRY SCHEIN INC · HSIC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Barry J Alperin
Director
Period of report
Mar 6, 2017
Accepted (ET)
Mar 8, 2017 · 4:01 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 shareF1 | Mar 6, 2017 | A | 1,084 | $0.00 | A | 22,753 | D | |
| Common Stock, par value $0.01 per shareF2 | Mar 6, 2017 | S | 1,565 | $170.46 | D | 21,188 | D | |
| Common Stock, par value $0.01 per share | Mar 6, 2017 | M | 5,000 | $59.89 | A | 26,188 | D | |
| Common Stock, par value $0.01 per shareF3 | Mar 6, 2017 | S | 5,000 | $170.49 | D | 21,188 | 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 BuyF4,F5 | $59.89 | Mar 6, 2017 | M | 5,000 | D | — | Mar 3, 2018 | Common Stock, par value $0.01 per share | 5,000 | 2,898 | D |
Explanation of responses
- F1Acquired pursuant to the Issuer's 2015 Non-Employee Director Stock Incentive Plan. Subject to certain exceptions, such restricted stock units will vest subject to (i) the passage of a specified period of time and (ii) the report person's continued performance of services for the Issuer.
- F2The price reflects a weighted average of sales made at prices ranging from $170.381 to $170.510 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.
- F3The price reflects a weighted average of sales made at prices ranging from $170.30 to $170.82 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.
- F4Acquired pursuant to the Issuer's 1996 Non-Employee Director Stock Incentive Plan, as amended.
- F5The option vests in four equal installments on each of March 3, 2009, March 3, 2010, March 3, 2011 and March 3, 2012.