SEC Form 4 · accession 0001209191-18-017296

HENRY SCHEIN INC · HSIC

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

Reporting owner

Director

Period of report

Mar 2, 2018

Accepted (ET)

Mar 6, 2018 · 4:40 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	Mar 2, 2018	M	15,796	$29.945	A	17,964	D
Common Stock, par value $0.01 per share^F1	Mar 2, 2018	F	9,391	$65.19	D	8,573	D
Common Stock, par value $0.01 per share^F2	Mar 2, 2018	A	2,843	$0.00	A	11,416	D
Common Stock, par value $0.01 per share^F3	holding	—	—		—	18,412	I	By Trustees

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Stock Option Right to Buy^F4,F5	$29.945	Mar 2, 2018	M	15,796	D	—	Mar 3, 2018	Common Stock, par value $0.01 per share	15,796	0	D

F1Represents the surrender of shares to the issuer to cover the payment of the exercise price and the tax withholding obligation upon the exercise and hold of the reporting person's March 3, 2008 stock option grant.
F2Acquired 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 reporting person's continued performance of services for the Issuer.
F3Represents 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.
F4Acquired 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).
F5The option vests in four equal installments on each of March 3, 2009, March 3, 2010, March 3, 2011 and March 3, 2012.