FORM 4 OMB APPROVAL [ ] Check this box if no longer OMB Number: 3235-0287 subject to Section 16. Form 4 Expires: April 30, 1997 or Form 5 obligations may Estimated average burden continue. See Instruction 1(b). hours per response - 0.5 U.S. 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(f) of the Investment Company Act of 1940 1. Name and Address of Reporting Person Stanley M. Bergman c/o Henry Schein, Inc. 135 Duryea Road Melville, New York 11747 2. Issuer name and Ticker or Trading Symbol Henry Schein, Inc./HSIC 3. IRS or Social Security Number of Reporting Person (Voluntary) 4. Statement for Month/Year June 1996 5. If Amendment, Date of Original 4/96 6. Relationship of Reporting Person to Issuer (Check all applicable) [x] Director [x] 10% Owner [x] Officer (give title below) [ ] Other (specify below) Chairman, Chief Executive Officer and President Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned 1. Title of Security (Instr. 3) Common Stock, $.01 par value per share Common Stock, $.01 par value per share 2. Transaction Date (Month/Day/Year) 6/4/96 Line purposely left blank 3. Transaction Code (Instr. 8): Code V J* Line purposely left blank 4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5): Amount (A) or (D) Price 27,500 D 0* Line purposely left blank 5. Amount of Securities Beneficially Owned at End of Month (Instr. 3 and 4) 164,758.18** 1,274,426.82 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) D I 7. Nature of Indirect Beneficial Ownership (Instr. 4) Line purposely left blank By Trusts*** Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Print or Type Responses) 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 (Month/Day/Year) 4. Transaction Code (Instr. 8): Code V 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) (A) (D) 6. Date Exercisable and Expiration Date (Month/Day/Year) Date Exercisable Expiration Date 7. Title and Amount of Underlying Securities (Instr. 3 and 4) Title Amount or Number of Shares 8. Price of Derivative Security (Instr. 5) 9. Number of Derivative Securities Beneficially Owned at End of Month (Instr. 4) 10. Onwership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4) Explanation of Responses: * Represents a transfer of 27,500 shares held by Stanley M. Bergman to a charity. ** Does not include 2,945,660.13 shares held by Stanley M. Bergman, as voting trustee under voting trust agreements. Mr. Bergman disclaims beneficial ownership of such shares. *** Represents shares held by Stanley M. Bergman's wife and another family member, as co-trustees of trusts for the benefit of Stanley M. Bergman and members of Mr. Bergman's family. ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). /s/Stanley M. Bergman 7/10/96 **Signature of Reporting Person Date Note: File three copies of this Form, one of which must be manually signed. If space provided is insufficient, see Instruction 6 for procedure. SEC 1474(8-92)