Sec Form 4 Filing - BERGMAN STANLEY M @ HENRY SCHEIN INC - 2020-11-09

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)
11/09/2020
(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 05/15/2020 G V 2,240 D $ 0 ( 1 ) 324,797 D
Common Stock, par value $0.01 per share 06/08/2020 G V 16,520 D $ 0 ( 1 ) 308,277 D
Common Stock, par value $0.01 per share 06/09/2020 G V 3,927 D $ 0 ( 1 ) 304,350 D
Common Stock, par value $0.01 per share 06/10/2020 G V 3,930 D $ 0 ( 1 ) 300,420 D
Common Stock, par value $0.01 per share 08/12/2020 G V 1,919 D $ 0 ( 1 ) 298,501 D
Common Stock, par value $0.01 per share 09/10/2020 G V 17,090 D $ 0 ( 1 ) 759,088 I By Spouse ( 2 )
Common Stock, par value $0.01 per share 09/15/2020 G V 430 D $ 0 ( 1 ) 298,071 D
Common Stock, par value $0.01 per share 09/16/2020 G V 3,116 D $ 0 ( 1 ) 755,972 I By Spouse ( 3 )
Common Stock, par value $0.01 per share 09/17/2020 G V 23,370 D $ 0 ( 1 ) 274,701 D
Common Stock, par value $0.01 per share ( 4 ) 11/09/2020 S 3,803 D $ 65.257 ( 5 ) 752,169 I By Spouse ( 6 )
Common Stock, par value $0.01 per share ( 4 ) 11/09/2020 S 40,786 D $ 66.641 ( 7 ) 711,383 I By Spouse ( 8 )
Common Stock, par value $0.01 per share ( 4 ) 11/09/2020 S 26,086 D $ 67.454 ( 9 ) 685,297 I By Spouse ( 10 )
Common Stock, par value $0.01 per share ( 4 ) 11/09/2020 S 6,525 D $ 68.554 ( 11 ) 678,772 I By Spouse ( 12 )
Common Stock, par value $0.01 per share ( 4 ) 11/09/2020 S 2,800 D $ 69.411 ( 13 ) 675,972 I By Spoue ( 14 )
Common Stock, par value $0.01 per share 10,221 I by 401(k) plan ( 15 )
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) 11/10/2020
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Gift, not applicable.
( 2 )Represents (i) 419,168 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; (ii) 34 shares held by Mrs. Bergman and (iii) 339,886 shares held by the Bergman Family 2010 Trust #2, LLC of which Marion Bergman, Stanley M. Bergman's wife, is a manager.
( 3 )Represents (i) 414,168 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; (ii) 1,918 shares held by Mrs. Bergman and (iii) 339,886 shares held by the Bergman Family 2010 Trust #2, LLC of which Marion Bergman, Stanley M. Bergman's wife, is a manager. The amounts in the previous sentence reflect a transfer by the Bermgan Family 2010 Trust #2 of 5,000 shares of Common Stock to Mrs. Bergman on September 14, 2020 and the subsequent gifting of 3,116 of those shares by Mrs. Bergman on September 16, 2020.
( 4 )The sales transactions reported in this Form 4 were eff ected pursuant to a Rule 10b5-1 sales plan of the Bergman Family 2010 Trust #2 dated Ausgust 27, 2020.
( 5 )The price reflects a weighted average of sales made at prices ranging from $65.00 to $65.81 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) 410,365 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; (ii) 1,918 shares held by Mrs. Bergman and (iii) 339,886 shares held by the Bergman Family 2010 Trust #2, LLC of which Marion Bergman, Stanley M. Bergman's wife, is a manager.
( 7 )The price reflects a weighted average of sales made at prices ranging from $66.050 to $67.030 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) 369,579 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; (ii) 1,918 shares held by Mrs. Bergman and (iii) 339,886 shares held by the Bergman Family 2010 Trust #2, LLC of which Marion Bergman, Stanley M. Bergman's wife, is a manager.
( 9 )The price reflects a weighted average of sales made at prices ranging from $67.040 to $68.020 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 )Represents (i) 343,493 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; (ii) 1,918 shares held by Mrs. Bergman and (iii) 339,886 shares held by the Bergman Family 2010 Trust #2, LLC of which Marion Bergman, Stanley M. Bergman's wife, is a manager.
( 11 )The price reflects a weighted average of sales made at prices ranging from $68.030 to $69.000 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.
( 12 )Represents (i) 336,968 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; (ii) 1,918 shares held by Mrs. Bergman and (iii) 339,886 shares held by the Bergman Family 2010 Trust #2, LLC of which Marion Bergman, Stanley M. Bergman's wife, is a manager.
( 13 )The price reflects a weighted average of sales made at prices ranging from $69.020 to $69.730 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.
( 14 )Represents (i) 334,168 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; (ii) 1,918 shares held by Mrs. Bergman and (iii) 339,886 shares held by the Bergman Family 2010 Trust #2, LLC of which Marion Bergman, Stanley M. Bergman's wife, is a manager.
( 15 )Reflects the reporting person's interest in equivalent shares of Henry Schein common stock held by the unitized stock fund in the Henry Schein, Inc. 401(k) Savings Plan (the "Plan"). The unitized stock fund consists of Henry Schein common stock and cash or cash equivalents. The number of shares attributed to the reporting person as a participant in the Plan and expressed as equivalent shares has been calculated based on the closing price of Henry Schein common stock on November 9, 2020.

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