SEC FORM 4 SEC Form 4
FORM 4 UNITED STATES 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
or Section 30(h) of the Investment Company Act of 1940
 
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
BENJAMIN GERALD A

(Last) (First) (Middle)
C/O HENRY SCHEIN, INC.
135 DURYEA ROAD

(Street)
MELVILLE NY 11747

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
SCHEIN HENRY INC [ HSIC ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
Executive Vice President
3. Date of Earliest Transaction (Month/Day/Year)
08/11/2005
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. 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 Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock, Par Value $0.01 08/11/2005 M 30,000 A $19.9375 41,320 D
Common Stock, Par Value $0.01 08/11/2005 M 2,598 A $10.75 43,918 D
Common Stock, Par Value $0.01 08/11/2005 S 32,598 D $43 11,320 D
Common Stock, Par Value $0.01 08/12/2005 M 2,850 A $10.75 14,170 D
Common Stock, Par Value $0.01 08/12/2005 M 4,456 A $14.3125 18,626 D
Common Stock, Par Value $0.01 08/12/2005 S 7,306 D $42.7508 11,320 D
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) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Options(1) $19.9375 08/11/2005 M 30,000 (2) 03/17/2008 Common Stock 30,000 $0 0 D
Stock Options(1) $10.75 08/11/2005 M 2,598 (3) 04/06/2009 Common Stock 2,598 $0 2,850 D
Stock Options(1) $10.75 08/12/2005 M 2,850 (3) 04/06/2009 Common Stock 2,850 $0 0 D
Stock Options(1) $14.3125 08/12/2005 M 4,456 (4) 03/01/2011 Common Stock 4,456 $0 39,544 D
Explanation of Responses:
1. Acquired pursuant to the Issuer's 1994 Stock Incentive Plan.
2. The option vested in three equal installments on March 17, 1999, March 17, 2000 and March 17, 2001.
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 March 1, 2002, March 1, 2003 and March 1, 2004.
Remarks:
/s/ Gerald A. Benjamin 08/12/2005
** Signature of Reporting Person 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).
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