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*
HAMBURG MARGARET 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
HENRY SCHEIN INC [ HSIC ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
Officer (give title below) X Other (specify below)
Former Director
3. Date of Earliest Transaction (Month/Day/Year)
05/19/2009
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 per share 05/20/2009 M 20,000 A $32.15 32,235 D
Common Stock, par value $0.01 per share 05/20/2009 M 15,000 A $35.49 47,235 D
Common Stock, par value $0.01 per share 05/20/2009 M 15,000 A $39.43 62,235 D
Common Stock, par value $0.01 per share 05/20/2009 S 50,000 D $45.09(1) 12,235 D
Common Stock, par value $0.01 per share 05/20/2009 S 1,000 D $45.38(2) 11,235 D
Common Stock, par value $0.01 per share 05/19/2009 D(3) 11,235 D $0.00 0 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 Option (Right to Buy) $32.15 05/20/2009 M 20,000 (4) 08/19/2009(5) Common Stock, par value $0.01 per share 20,000 $0.00 0 D
Stock Option (Right to Buy) $35.49 05/20/2009 M 15,000 (6) 08/19/2009(5) Common Stock, par value $0.01 per share 15,000 $0.00 0 D
Stock Option (Right to Buy) $39.43 05/20/2009 M 15,000 (7) 08/19/2009(5) Common Stock, par value $0.01 per share 15,000 $0.00 0 D
Explanation of Responses:
1. The price reflects a weighted average of sales made at prices ranging from $44.84 to $45.32 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.
2. The price reflects a weighted average of sales made at prices ranging from $45.38 to $45.39 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.
3. Dr. Hamburg's time-based restricted stock and restricted stock units that were subject to her continued service as a member of the Issuer's Board of Directors until four years from their respective grant dates were forfeited on May 19, 2009 when she resigned from the Board.
4. The option vested in three equal installments on each of November 10, 2004, November 10, 2005 and November 10, 2006.
5. Dr. Hamburg resigned from the Issuer's Board of Directors on May 19, 2009. By its terms, the option expires 3 months from Dr. Hamburg's resignation date.
6. The option vested in four equal installments on each of February 18, 2005, February 18, 2006 and February 18, 2007 and February 18, 2008.
7. The option vested in four equal installments on each of March 9, 2006, March 9, 2007 and March 9, 2008 and March 9, 2009.
Remarks:
/s/ Margaret A. Hamburg 05/22/2009
** 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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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