Filing Details

Accession Number:
0001209191-15-028005
Form Type:
4
Zero Holdings:
No
Publication Time:
2015-03-19 18:48:50
Reporting Period:
2015-03-17
Filing Date:
2015-03-19
Accepted Time:
2015-03-19 18:48:50
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1000228 Henry Schein Inc HSIC Wholesale-Medical, Dental & Hospital Equipment & Supplies (5047) 113136595
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1194347 P James Breslawski C/O Henry Schein, Inc.
135 Duryea Road
Melville NY 11747
Pres., Hsi & Ceo Global Dental Yes Yes No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock, Par Value $0.01 Per Share Disposition 2015-03-17 9,359 $139.55 109,372 No 4 S Direct
Common Stock, Par Value $0.01 Per Share Disposition 2015-03-18 3,452 $139.17 0 No 4 S Indirect by 401(k) plan
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 S Direct
No 4 S Indirect by 401(k) plan
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock, Par Value $0.01 Per Share SERP Phantom Stock Disposition 2015-03-18 4,728 $0.00 4,728 $0.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 No 4 I Direct
Footnotes
  1. The price reflects a weighted average of sales made at prices ranging from $139.32 to $139.92 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.
  2. Represents the closing market price of the Issuer's common stock on March 18, 2015.
  3. The reported transaction on this line item of the Form 4 is a sale of Issuer common stock within the Issuer's Supplemental Executive Retirement Plan ("SERP") and the funds were reinvested in other investments.
  4. Represents the aggregate number of shares of phantom stock allocated to the reporting person under the SERP as of March 18, 2015 based on the closing price of a share of the Issuer's common stock on such date.
  5. The vested balance in the reporting person's SERP account is payable in cash only following the six-month anniverary of a termination of employment or within 30 days following a change in control of the Issuer. Subject to the terms of the SERP, the reporting person may change his hypothetical investment in the investment alternatives (including the Issuer's stock fund) to an alternative hypothetical investment at any time.
  6. The Reporting Person reinvested the cash value of 4,728 shares of SERP Phantom Stock held in the Issuer's SERP (valued based on the closing price of a share of the Issuer's common stock on March 18, 2015).