FORM 4 o
Check
this box if no longer subject to Section 16.
Form 4 or Form 5 obligations may continue. |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549
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OMB APPROVAL |
OMB
Number: 3235-0287 |
1. Name and Address of Reporting Person *
(Last)
(First)
(Middle)
135 Duryea Rd. (Street)
(City)
(State) (Zip)
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2. Issuer Name and Ticker Henry
Schein, Inc.
3. I.R.S.
Identification |
4. Statement for March 31, 2003
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6. Relationship of Reporting Person(s) to Issuer (Check all applicable) Director
X Officer (give title below)
10% Owner
Other (specify below) Executive Vice President and Chief Technology Officer
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Table I Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
1. Title of Security |
2. Transaction Date
(Month/Day/ |
2A. Deemed Execution Date,
if any (Month/Day/ |
3. Transaction Code |
4. Securities Acquired (A)
or Disposed of (D) |
5. Amount of Securities
Beneficially Owned Following Reported Transaction(s) |
6. Ownership Form: Direct
(D) or Indirect (I) |
7. Nature of Indirect
Beneficial Ownership |
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Code |
V |
Amount |
(A) or (D) |
Price |
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Common Stock |
3/28/03 |
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M |
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30,900 |
A |
$27.00 |
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Common Stock |
3/28/03 |
|
M |
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11,000 |
A |
$21.50 |
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Common Stock |
3/28/03 |
|
M |
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7,000 |
A |
$11.8125 |
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Common Stock |
3/28/03 |
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S |
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28,900 |
D |
$45.25 |
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Common Stock |
3/28/03 |
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S |
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20,000 |
D |
$45.277 |
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Common Stock |
3/31/03 |
|
M |
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8,000 |
A |
$11.8125 |
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Common Stock |
3/31/03 |
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S |
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5,500 |
D |
$45.25 |
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Common Stock |
3/31/03 |
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S |
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2,500 |
D |
$45.30 |
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Common Stock |
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107,000 |
D |
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Common Stock |
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154,850 |
I |
(1) |
Table II Derivative Securities Acquired, Disposed of, or
Beneficially Owned |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security |
3. Transaction Date |
3A. Deemed Execution Date,
if any (Month/Day/ |
4. Transaction Code (Instr. 8) |
5. Number of Derivative
Securities Acquired (A) or Disposed of (D) |
6. Date Exercisable and
Expiration Date |
7. Title and Amount of
Underlying Securities |
8. Price of Derivative
Security |
9. Number of Derivative
Securities Beneficially Owned Following Reported Transaction(s) |
10. Ownership Form of
Derivative Securities: Direct (D) or Indirect (I) |
11. Nature of Indirect
Beneficial Ownership |
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Code |
V |
(A) |
(D) |
Date |
Expiration |
Title |
Amount or Number of Shares |
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Stock Option (right to buy) |
$27.00 |
3/28/03 |
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M |
|
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30,900 |
(2) |
2/28/07 |
Common Stock |
30,900 |
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-0- |
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Stock Option (right to buy) |
$21.50 |
3/28/03 |
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M |
|
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11,000 |
(3) |
4/6/09 |
Common Stock |
11,000 |
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-0- |
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Stock Option (right to buy) |
$11.8125 |
3/28/03 |
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M |
|
|
7,000 |
(4) |
12/15/09 |
Common Stock |
7,000 |
|
8,000 |
D |
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Stock Option (right to buy) |
$11.8125 |
3/31/03 |
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M |
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|
8,000 |
(4) |
12/15/09 |
Common Stock |
8,000 |
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-0- |
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Explanation
of Responses: (1) Represents shares held by Shilar Investments, L.L.C. (2) The option vested in three equal installments on February 28, 1998, February 28, 1999 and February 28, 2000. (3) The option vested in three equal installments on April 6, 2000, April 6, 2001 and April 6, 2002. (4) The option vested in three equal installments on December 15, 2000, December 15, 2001 and December 15, 2002. |
/s/ Larry M. Gibson ** Signature of Reporting Person |
March 31, 2003 Date |
Reminder: Report on a separate line for each
class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
** Intentional misstatements
or omissions of facts constitute Federal Criminal Violations.
See 18
U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
http://www.sec.gov/divisions/corpfin/forms/form4.htm
Last update: 09/05/2002