Stanley M. Bergman - Dec 25, 2021 Form 5 Insider Report for HENRY SCHEIN INC (HSIC)

Role
Chairman, CEO, Director
Signature
/s/ Jennifer Ferrero (as Attorney-in-Fact for Stanley M. Bergman)
Stock symbol
HSIC
Transactions as of
Dec 25, 2021
Transactions value $
$0
Form type
5
Date filed
2/3/2022, 03:05 PM
Previous filing
Dec 15, 2021
Next filing
Feb 17, 2022

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction HSIC Common Stock, par value $0.01 per share Gift $0 -12.3K -2.09% $0.00 575K Dec 16, 2021 By Spouse F1, F2
holding HSIC Common Stock, par value $0.01 per share 284K Dec 25, 2021 Direct
holding HSIC Common Stock, par value $0.01 per share 9.4K Dec 25, 2021 by 401(k) plan F3
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Gift, not applicable.
F2 Represents (i) 234,976 shares held by the Bergman Family 2010 Trust #2, of which Marion Bergman, Stanley M. Bergman's wife, is a co-trustee and a beneficiary; (ii) 101 shares held by Mrs. Bergman and (iii) 339,886 shares held by the 2010 Bergman Family #2, LLC of which Marion Bergman, Stanley M. Bergman's wife, is a manager. The amounts in the previous sentence reflect a transfer by the Bergman Family 2010 Trust #2 of 12,279 shares of common stock to Mrs. Bergman on December 16, 2021 and the subsequent gifting of those shares on December 16, 2021 by Mrs. Bergman.
F3 Reflects the reporting person's interest in equivalent shares of Henry Schein common stock held by the unitized stock fund in the Henry Schein, Inc. 401(k) Savings Plan (the "Plan"). The unitized stock fund consists of Henry Schein common stock and cash or cash equivalents. The number of shares attributed to the reporting person as a participant in the Plan and expressed as equivalent shares has been calculated based on the closing price of Henry Schein common stock on February 2, 2022.