HENRY SCHEIN INC — Director's Dealing 2017

Feb 10, 2017

SEC Form 5 — Annual Statement of Changes in Beneficial Ownership

Issuer: HENRY SCHEIN INC (HSIC)
CIK: 0001000228
Period of Report: 2016-12-31

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

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2016-11-11	Common Stock, par value $0.01 per share	G	321	$0.00	Disposed	487824	Indirect
2016-11-23	Common Stock, par value $0.01 per share	G	165	$0.00	Disposed	487659	Indirect

Holdings (Non-Derivative)

Security	Shares	Ownership
Common Stock, par value $0.01 per share	173928	Direct
Common Stock, par value $0.01 per share	4447	Indirect

Footnotes

F1: Gift, not applicable.

F2: 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) 182 shares held by Mrs. Bergman. On November 11, 2016 the Bergman Family Trust 2 transferred 350 shares to Mrs. Bergman which is reflected in the number in Column 5 of this line item.

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.