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Mlotek Mark E – ‘4’ for 5/10/21 re: Henry Schein Inc.

On:  Tuesday, 5/11/21, at 5:04pm ET   ·   For:  5/10/21   ·   Accession #:  1209191-21-31746   ·   File #:  0-27078

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  As Of               Filer                 Filing    For·On·As Docs:Size             Issuer                      Filing Agent

 5/11/21  Mlotek Mark E                     4                      1:5K   Henry Schein Inc.                 DONNELLEY FIN… File16/FA

Statement of Changes in Beneficial Ownership of Securities by an Insider   —   Form 4   —   SEA’34
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: 4           Form 4 Submission -- doc4.xml/3.6                   HTML      3K 




        

This ‘4’ Document is an XML Data File that may be rendered in various formats:

  Form 4    –   Plain Text   –  SEC Website  –  EDGAR System  –    XML Data    –  <?xml?> File
 

 
Plain Text rendering:  Form 4 Submission
 
                                                                                                                                                                                
Ownership Document
 
Schema Version:  X0306
Document Type:  4
Period of Report:  5/10/21
Not Subject to Section 16:  0
Issuer:
Issuer CIK:  1000228
Issuer Name:  HENRY SCHEIN INC
Issuer Trading Symbol:  HSIC
Reporting Owner:
Reporting Owner ID:
Owner CIK:  1194352
Owner Name:  MLOTEK MARK E
Reporting Owner Address:
Owner Street 1:  C/O HENRY SCHEIN, INC.
Owner Street 2:  135 DURYEA ROAD
Owner City:  MELVILLE
Owner State:  NY
Owner ZIP Code:  11747
Owner State Description:
Reporting Owner Relationship:
Is Director?  Yes
Is Officer?  Yes
Is Ten Percent Owner?  No
Is Other?  No
Officer Title:  EVP, Chief Strategic Officer
Non-Derivative Table:
Non-Derivative Transaction:
Security Title:
Value:  Common Stock, par value $0.01 per share
Transaction Date:
Value:  5/10/21
Deemed Execution Date:
Transaction Coding:
Transaction Form Type:  4
Transaction Code:  S
Equity Swap Involved?  No
Transaction Timeliness:
Value:
Transaction Amounts:
Transaction Shares:
Value:  13,296
Transaction Price Per Share:
Value:  83.02
Footnote ID:  F1
Transaction Acquired-Disposed Code:
Value:  D
Post-Transaction Amounts:
Shares Owned Following Transaction:
Value:  112,459
Ownership Nature:
Direct or Indirect Ownership:
Value:  D
Non-Derivative Holding:
Security Title:
Value:  Common Stock, par value $0.01 per share
Post-Transaction Amounts:
Shares Owned Following Transaction:
Value:  4,093
Ownership Nature:
Direct or Indirect Ownership:
Value:  I
Nature of Ownership:
Value:  by 401(k) plan
Footnote ID:  F2
Footnotes:
Footnote - F1The price reflects a weighted average of sales made at prices ranging from $82.97 to $83.17 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.
Footnote - F2Reflects 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 May 10, 2021.
Remarks:
Owner Signature:
Signature Name:  /s/ Jennifer Ferrero (as Attorney-in-Fact for Mark E. Mlotek)
Signature Date:  5/11/21


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Filing Submission 0001209191-21-031746   –   Alternative Formats (Word / Rich Text, HTML, Plain Text, et al.)

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