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HENRY SCHEIN INC — Director's Dealing 2014
Feb 4, 2014
30735_dirs_2014-02-04_229f4329-bfd6-4223-adc6-e73a0e3a370a.zip
Director's Dealing
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SEC Form 5 — Annual Statement of Changes in Beneficial Ownership
Issuer: HENRY SCHEIN INC (HSIC)
CIK: 0001000228
Period of Report: 2013-12-28
Reporting Person: BERGMAN STANLEY M (Director, Chairman, CEO)
Non-Derivative Transactions
| Date | Security | Code | Shares | Price | A/D | Holdings After | Ownership |
|---|---|---|---|---|---|---|---|
| 2013-12-03 | Common Stock, par value $0.01 per share | G | 489 | $0.00 | Disposed | 624072 | Indirect |
| 2013-12-23 | Common Stock, par value $0.01 per share | G | 200 | $0.00 | Disposed | 623872 | Indirect |
Holdings (Non-Derivative)
| Security | Shares | Ownership |
|---|---|---|
| Common Stock, par value $0.01 per share | 163770 | Direct |
| Common Stock, par value $0.01 per share | 83990 | Indirect |
| Common Stock, par value $0.01 per share | 4402 | Indirect |
Footnotes
F1: Gift, not applicable.
F2: Represents (i) 622,142 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) 1,930 shares held by Mrs. Bergman. On December 3, 2013, the Bergman Family 2010 Trust 2 transferred 2,000 shares to Mrs. Bergman, which is reflected in the preceding sentence.
F3: Represents (i) 622,142 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) 1,730 shares held by Mrs. Bergman.
F4: 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. Mr. and Mrs. Bergman disclaim beneficial ownership of the shares held by the limited liability company.