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HENRY SCHEIN INC Director's Dealing 2017

Mar 8, 2017

30735_dirs_2017-03-08_dab025af-3a79-4fbe-b860-11d10bb16373.zip

Director's Dealing

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SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: HENRY SCHEIN INC (HSIC)
CIK: 0001000228
Period of Report: 2017-03-06

Reporting Person: BERGMAN STANLEY M (Director, Chairman, CEO)

Non-Derivative Transactions

Date Security Code Shares Price A/D Holdings After Ownership
2017-03-01 Common Stock, par value $0.01 per share G 26614 $0.00 Disposed 102056 Direct
2017-03-02 Common Stock, par value $0.01 per share G 901 $0.00 Disposed 101155 Direct
2017-03-03 Common Stock, par value $0.01 per share G 1726 $0.00 Disposed 99429 Direct
2017-03-06 Common Stock, par value $0.01 per share G 1149 $0.00 Disposed 98280 Direct
2017-03-06 Common Stock, par value $0.01 per share A 20479 $0.00 Acquired 118759 Direct
2017-03-07 Common Stock, par value $0.01 per share G 207 $0.00 Disposed 118552 Direct

Holdings (Non-Derivative)

Security Shares Ownership
Common Stock, par value $0.01 per share 487659 Indirect
Common Stock, par value $0.01 per share 4452 Indirect

Footnotes

F1: Gift, not applicable.

F2: Grant of performance-based restricted stock units (RSUs) pursuant to the Issuer's 2013 Stock Incentive Plan. Subject to certain exceptions, such performance-based RSUs will vest subject to (x) Issuer's achievement of a specified performance goal and (y) reporting person's continued performance of services for the Issuer. If the continued service requirement is satisfied and achievement of the performance goal (x) exceeds 100% of target, the Issuer may issue additional vested shares of common stock in an amount that corresponds to the incremental percentage of the performance goal achieved in excess of 100% of target or (y) is less than 100% of target, the reporting person will surrender to the Issuer shares of common stock in an amount that corresponds to the incremental percentage of the performance goal achieved that is below 100% of target (i.e., shortfall).

F3: Represents (i) 487,642 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) 17 shares held by Mrs. Bergman.