SEC Form 5 · accession 0001209191-18-009674
HENRY SCHEIN INC · HSIC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Michael S Ettinger
Officer — SVP Corp/Legal Ch of Staff Sec
Period of report
Dec 30, 2017
Accepted (ET)
Feb 13, 2018 · 5:23 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 | May 19, 2017 | G | 57 | $0.00 | D | 30,142 | D | |
| Common Stock, par value $0.01 per shareF1,F2 | Dec 11, 2017 | G | 67 | $0.00 | D | 60,217 | D | |
| Common Stock, par value $0.01 per shareF2 | holding | — | — | — | 800 | I | As trustee of trusts for the benefit of is children | |
| Common Stock, par value $0.01 per shareF2 | holding | — | — | — | 210 | I | By 401(k) plan |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Gift, not applicable.
- F2On September 14, 2017, the common stock of Henry Schein, Inc. split two-for-one (for shares held on the record date of September 1, 2017), resulting in the reporting person's ownership of additional shares of common stock.