Sec Form 4 Filing - BERGMAN STANLEY M @ HENRY SCHEIN INC - 2014-12-08

Insider filing report for Changes in Beneficial Ownership
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FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
BERGMAN STANLEY M
2. Issuer Name and Ticker or Trading Symbol
HENRY SCHEIN INC [ HSIC]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
Chairman, CEO
(Last) (First) (Middle)
C/O HENRY SCHEIN, INC., 135 DURYEA ROAD
3. Date of Earliest Transaction (MM/DD/YY)
12/08/2014
(Street)
MELVILLE, NY11747
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Common Stock, par value $0.01 per share 12/08/2014 S 11,821 D $ 136.34 ( 1 ) 611,441 I By Spouse ( 2 )
Common Stock, par value $0.01 per share 12/08/2014 S 11,664 D $ 136.34 ( 3 ) 72,326 I By Limited Liability Company ( 4 )
Common Stock, par value $0.01 per share 12/09/2014 S 13,296 D $ 135 ( 5 ) 598,145 I By Spouse ( 6 )
Common Stock, par value $0.01 per share 12/09/2014 S 9,651 D $ 135.39 ( 7 ) 588,494 I By Spouse ( 8 )
Common Stock, par value $0.01 per share 12/09/2014 S 14,467 D $ 135.02 ( 9 ) 57,859 I By Limited Liability Company ( 4 )
Common Stock, par value $0.01 per share 12/09/2014 S 8,701 D $ 135.41 ( 10 ) 49,158 I By Limited Liability Company ( 4 )
Common Stock, par value $0.01 per share 03/17/2014 G V 14,282 D $ 0 ( 11 ) 158,132 D
Common Stock, par value $0.01 per share 03/20/2014 G V 26,952 D $ 0 ( 11 ) 575,824 I By Spouse ( 12 )
Common Stock, par value $0.01 per share 03/20/2014 G V 6,266 D $ 0 ( 11 ) 161,968 ( 13 ) D
Common Stock, par value $0.01 per share 03/24/2014 G V 3,836 D $ 0 ( 11 ) 158,132 D
Common Stock, par value $0.01 per share 04/09/2014 G V 754 D $ 0 ( 11 ) 575,070 I By Spouse ( 14 )
Common Stock, par value $0.01 per share 05/14/2014 G V 220 D $ 0 ( 11 ) 574,850 I By Spouse ( 15 )
Common Stock, par value $0.01 per share 06/23/2014 G V 1,478 D $ 0 ( 11 ) 573,372 I By Spouse ( 16 )
Common Stock, par value $0.01 per share 06/24/2014 G V 9,632 D $ 0 ( 11 ) 563,740 I By Spouse ( 17 )
Common Stock, par value $0.01 per share 08/07/2014 G V 255 D $ 0 ( 11 ) 563,485 I By Spouse ( 18 )
Common Stock, par value $0.01 per share 08/13/2014 G V 620 D $ 0 ( 11 ) 562,865 I By Spouse ( 19 )
Common Stock, par value $0.01 per share 08/19/2014 G V 20 D $ 0 ( 11 ) 562,845 I By Spouse ( 20 )
Common Stock, par value $0.01 per share 09/03/2014 G V 445 D $ 0 ( 11 ) 562,400 I By Spouse ( 21 )
Common Stock, par value $0.01 per share 09/18/2014 G V 430 D $ 0 ( 11 ) 561,970 I By Spouse ( 22 )
Common Stock, par value $0.01 per share 11/12/2014 G V 992 D $ 0 ( 11 ) 560,978 I By Spouse ( 23 )
Common Stock, par value $0.01 per share 11/13/2014 G V 427 D $ 0 ( 11 ) 560,551 I By Spouse ( 24 )
Common Stock, par value $0.01 per share 11/20/2014 G V 100 D $ 0 ( 11 ) 560,451 I By Spouse ( 25 )
Common Stock, par value $0.01 per share 11/20/2014 G V 200 D $ 0 ( 11 ) 157,932 D
Common Stock, par value $0.01 per share 66,008 I By Limited Liability Company ( 26 )
Common Stock, par value $0.01 per share 4,401 I By 401(k) Plan
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)
6. Date Exercisable and Expiration Date
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 4)
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
BERGMAN STANLEY M
C/O HENRY SCHEIN, INC.
135 DURYEA ROAD
MELVILLE, NY11747
X Chairman, CEO
Signatures
/s/ Jennifer Ferrero (as Attorney-in-Fact) for Stanley M. Bergman) 12/10/2014
Signature of Reporting Person Date
Explanation of Responses:
( 1 )The price reflects a weighted average of sales made at prices ranging from $136.05 to $136.66 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 (i) 610,321 shares held by the Bergman Family 2010 Trust 2, of which Marion Bergman, Stanley M. Bergman's wife, is a co-trustee and a beneficiary and (ii) 1,120 shares held by Mrs. Bergman.
( 3 )The price reflects a weighted average of sales made at prices ranging from $136.09 to $136.67 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.
( 4 )Represents shares held by a limited liability company. Stanley M. Bergman and Marion Bergman, Mr. Bergman's wife, each have voting and dispositive power with respect to the shares held by the limited liability company.
( 5 )The price reflects a weighted average of sales made at prices ranging from $134.27 to $135.26 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.
( 6 )Represents (i) 597,025 shares held by the Bergman Family 2010 Trust 2, of which Marion Bergman, Stanley M. Bergman's wife, is a co-trustee and a beneficiary and (ii) 1,120 shares held by Mrs. Bergman.
( 7 )The price reflects a weighted average of sales made at prices ranging from $135.27 to $135.70 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.
( 8 )Represents (i) 587,374 shares held by the Bergman Family 2010 Trust 2, of which Marion Bergman, Stanley M. Bergman's wife, is a co-trustee and a beneficiary and (ii) 1,120 shares held by Mrs. Bergman.
( 9 )The price reflects a weighted average of sales made at prices ranging from $134.32 to $135.31 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.
( 10 )The price reflects a weighted average of sales made at prices ranging from $135.32 to $135.67 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.
( 11 )Gift, not applicable.
( 12 )Represents (i) 574,704 shares held by the Bergman Family 2010 Trust 2, of which Marion Bergman, Stanley M. Bergman's wife, is a co-trustee and a beneficiary and (ii) 1,120 shares held by Mrs. Bergman. On March 17, 2014, Mr. Bergman transferred 14,282 shares to the Bergman Family Trust 2 which is refelected in the numbers in the preceding sentence.
( 13 )On March 20, 2014, the Bergman Family Trust 2 transferred 10,102 shares to Mr. Bergman which is refelected in the number in Column 5 of this line item.
( 14 )Represents (i) 574,704 shares held by the Bergman Family 2010 Trust 2, of which Marion Bergman, Stanley M. Bergman's wife, is a co-trustee and a beneficiary and (ii) 366 shares held by Mrs. Bergman.
( 15 )Represents (i) 574,704 shares held by the Bergman Family 2010 Trust 2, of which Marion Bergman, Stanley M. Bergman's wife, is a co-trustee and a beneficiary and (ii) 146 shares held by Mrs. Bergman.
( 16 )Represents (i) 560,339 shares held by the Bergman Family 2010 Trust 2, of which Marion Bergman, Stanley M. Bergman's wife, is a co-trustee and a beneficiary and (ii) 13,033 shares held by Mrs. Bergman. On June 23, 2014, the Bergman Family Trust 2010 Trust 2 transferred 14,365 shares to Mrs. Bergman which is reflected in the numbers in the preceding sentence.
( 17 )Represents (i) 560,339 shares held by the Bergman Family 2010 Trust 2, of which Marion Bergman, Stanley M. Bergman's wife, is a co-trustee and a beneficiary and (ii) 3,401 shares held by Mrs. Bergman.
( 18 )Represents (i) 560,339 shares held by the Bergman Family 2010 Trust 2, of which Marion Bergman, Stanley M. Bergman's wife, is a co-trustee and a beneficiary and (ii) 3,146 shares held by Mrs. Bergman.
( 19 )Represents (i) 560,339 shares held by the Bergman Family 2010 Trust 2, of which Marion Bergman, Stanley M. Bergman's wife, is a co-trustee and a beneficiary and (ii) 2,526 shares held by Mrs. Bergman.
( 20 )Represents (i) 560,339 shares held by the Bergman Family 2010 Trust 2, of which Marion Bergman, Stanley M. Bergman's wife, is a co-trustee and a beneficiary and (ii) 2,506 shares held by Mrs. Bergman.
( 21 )Represents (i) 560,339 shares held by the Bergman Family 2010 Trust 2, of which Marion Bergman, Stanley M. Bergman's wife, is a co-trustee and a beneficiary and (ii) 2,061 shares held by Mrs. Bergman.
( 22 )Represents (i) 560,339 shares held by the Bergman Family 2010 Trust 2, of which Marion Bergman, Stanley M. Bergman's wife, is a co-trustee and a beneficiary and (ii) 1,631 shares held by Mrs. Bergman.
( 23 )Represents (i) 560,339 shares held by the Bergman Family 2010 Trust 2, of which Marion Bergman, Stanley M. Bergman's wife, is a co-trustee and a beneficiary and (ii) 639 shares held by Mrs. Bergman.
( 24 )Represents (i) 560,339 shares held by the Bergman Family 2010 Trust 2, of which Marion Bergman, Stanley M. Bergman's wife, is a co -trustee and a beneficiary and (ii) 212 shares held by Mrs. Bergman.
( 25 )Represents (i) 560,339 shares held by the Bergman Family 2010 Trust 2, of which Marion Bergman, Stanley M. Bergman's wife, is a co-trustee and a beneficiary and (ii) 112 shares held by Mrs. Bergman.
( 26 )Represents shares held by a limited liability company. Stanley M. Bergman and Marion Bergman, Mr. Bergman's wife, each have voting and dispositive power with respect to the shares held by the limited liability company. On March 20, 2014, the Bergman Family Trust 2 transferred 16,850 shares to the limited liability company which is reflected in the number in Column 5 of this line item.

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