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SEC 1473
(09-02)

Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.

 

FORM 3

 

UNITED STATES SECURITIES AND EXCHANGE COMMISSION

Washington, D.C.  20549


INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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(h) of the Investment Company Act of 1940

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(Print or Type Responses)

 


 1. Name and Address of Reporting Person*



  Sullivan             Louis                W.

(Last)            (First)            (Middle)



c/o Henry Schein, Inc.
135 Duryea Rd.

(Street)



Melville   New York   11747

(City)      (State)          (Zip)

 2. Date of Event
    Requiring Statement
    (Month/Day/Year)


April 15, 2003



 3. I.R.S. Identification
    Number of Reporting
    Person, if an entity
    (voluntary)

 


 4. Issuer Name and Ticker
    or Trading Symbol


Henry Schein, Inc. (HSIC)

 

 5. Relationship of Reporting Person(s) to Issuer

  (Check all applicable)

  X  Director

      10% Owner

      Officer (give title below)

      Other (specify below)


  

 6. If Amendment,
    Date of Original
    (Month/Day/Year)

 


 7. Individual or Joint/Group

      Filing (Check Applicable Line)

 

 

  X  Form filed by One Reporting Person

       Form filed by More than One Reporting Person

 

 

 

 

Table I - Non-Derivative Securities Beneficially Owned

 

 1. Title of Security
    (Instr. 4)

 2.  Amount of
    Securities
    Beneficially
    Owned
    (Instr. 4)

 3. Ownership Form: Direct (D) or Indirect (I)
    (Instr. 5)

 4. Nature of Indirect Beneficial Ownership
    (Instr. 5)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)

 

1. Title of
    Derivative
    Security
    (Instr. 4)

2.  Date Exercisable and
    Expiration Date
    (Month/Day/Year)

3. Title and Amount of
    Securities Underlying Derivative
    Security (Instr. 4)

4. Conversion or
    Exercise Price of
    Derivative
    Security

5. Ownership
    Form of Derivative
    Securities: Direct (D)
    or Indirect (I) (Instr. 5)

6. Nature of Indirect
    Beneficial
    Ownership
    (Instr. 5)

Date Exercisable

Expiration Date

Title

Amount or
Number of Shares

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.

Explanation of Responses:

 

 

 

/s/ Louis W. Sullivan

 

4/16/03

** Signature of Reporting Person

 

Date

 

*

 

If the form is filed by more than one reporting person, see Instruction 5(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/form3.htm

Last update: 09/03/2002