SEC Form 4 · accession 0001209191-17-019232

HENRY SCHEIN INC · HSIC

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

Reporting owner

Officer — SVP, Chief Technology Officer

Period of report

Mar 6, 2017

Accepted (ET)

Mar 8, 2017 · 4:09 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^F1	Mar 6, 2017	A	5,851	$0.00	A	27,099	D
Common Stock, par value $0.01 per share^F2	holding	—	—		—	600	I	By Trust
Common Stock, par value $0.01 per share^F3	holding	—	—		—	21,160	I	By Trust
Common Stock, par value $0.01 per share	holding	—	—		—	1,048	I	by 401(k) plan

No Table II lines on this filing.

F1Grant of restricted stock units (RSUs) pursuant to the Issuer's 2013 Stock Incentive Plan. Subject to certain exceptions, 65% will vest subject to (x) Issuer's achievement of a specified perf. goal and (y) reporting person's continued performance of services for the Issuer. 35% will vest subject to (x) passage of a specified period of time and (y) reporting person's continued performance of services for the Issuer. With respect to the perf.-based RSUs, if the continued service requirement is satisfied and achievement of the perf. goal (x) exceeds 100% of target, the Issuer may issue additional vested shares of common stock in an amount that corresponds to the incremental percentage of the perf. goal achieved in excess of 100% of target or (y) is less than 100% of target, the reporting person will surrender to the Issuer shares of common stock in an amount that corresponds to the incremental percentage of the perf. goal achieved that is below 100% of target (i.e., shortfall).
F2Represents shares held by a trust where Mr. Harding is the trustee for the benefit of his children.
F3Represents shares held by The James A. Harding Revocable Trust of which Mr. Harding is the trustee and beneficiary.