SEC Form 4 · accession 0001209191-17-063620
HENRY SCHEIN INC · HSIC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Barry J Alperin
Director
Period of report
Dec 1, 2017
Accepted (ET)
Dec 4, 2017 · 5:17 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 | Dec 1, 2017 | M | 5,796 | $29.945 | A | 48,172 | D | |
| Common Stock, par value $0.01 per shareF2 | Dec 1, 2017 | S | 5,796 | $70.76 | D | 42,376 | 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 BuyF3,F1,F4 | $29.945 | Dec 1, 2017 | M | 5,796 | D | — | Mar 3, 2018 | Common Stock, par value $0.01 per share | 5,796 | 0 | D |
Explanation of responses
- F1On September 14, 2017 the common stock of Henry Schein, Inc. split 2-for-1. The amount of options and the exercise price of the option have been adjusted to reflect the stock split.
- F2The price reflects a weighted average of sales made at prices ranging from $70.67 to $70.80 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 1996 Non-Employee Director Stock Incentive Plan, as amended (now known as the Issuer's 2015 Non-Employee Director Stock Incentive Plan).
- F4The option vested in four equal installments on each of March 3, 2009, March 3, 2010, March 3, 2011 and March 3, 2012.