THIS DOCUMENT IS A COPY OF THE SCHEDULE 13G AMENDMENT FILED ON FEBRUARY 18,
1997 PURSUANT TO A RULE 201 TEMPORARY HARDSHIP EXEMPTION
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
UNDER THE SECURITIES EXCHANGE ACT OF 1934
(Amendment No. 1)
HENRY SCHEIN, INC.
(Name of issuer)
Common Stock, par value $0.01 per share
(Title of class of securities)
8064707102
(CUSIP number)
* The remainder of this cover page shall be filled out for a
reporting person's initial filing on this form with respect to
the subject class of securities, and for any subsequent amendment
containing information which would alter the disclosures provided
in a prior cover page.
The information required in the remainder of this cover page
shall not be deemed to be "filed" for the purpose of Section 18
of the Securities Exchange Act of 1934 ("Act") or otherwise
subject to the liabilities of that section of the Act but shall
be subject to all other provisions of the Act (however, see the
Notes).
1 NAME OF REPORTING PERSON
Trust established by Stanley M. Bergman under Trust
Agreement dated September 15, 1994
S.S. or I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ]
(b) [x]
3 SEC USE ONLY
4 CITIZENSHIP OR PLACE OF ORGANIZATION
Not Applicable
NUMBER OF 5 SOLE VOTING POWER 0
SHARES
BENEFICIALLY 6 SHARED VOTING POWER 0
OWNED BY
EACH 7 SOLE DISPOSITIVE POWER 0
REPORTING
PERSON 8 SHARED DISPOSITIVE POWER 0
WITH
9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
0
10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES
CERTAIN SHARES* [x]
11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
0%
12 TYPE OF REPORTING PERSON*
00
*SEE INSTRUCTIONS BEFORE FILLING OUT
Item 1(a). Name of Issuer:
The name of the Issuer is Henry Schein, Inc. (the
"Company").
Item 1(b). Address of Issuer's Principal Executive Offices:
The address of the Company's principal executive office is
135 Duryea Road, Melville, New York 11747.
Item 2(a). Name of Person Filing:
The name of the person filing is the Trust established by
Stanley M. Bergman under Trust Agreement dated September 15, 1994
(the "Trust").
Item 2(b). Address of Principal Business Office or, if None,
Residence:
The address of the Trust's principal business office is c/o
Marion Bergman and Leslie F. Bergman, Co-Trustees, 104A
Middleville Road, Northport, New York 11768.
Item 2(c). Citizenship:
Not applicable.
Item 2(d). Title of Class of Securities
This Schedule relates to the Common Stock, par value $.01
per share ("Common Stock") of the Company.
Item 2(e). CUSIP Number:
The CUSIP number of the Common Stock is 806407102.
Item 3. If this statement is filed pursuant to Rule 13d-1(b),
or 13d-2(b), check whether the
person filing is a: Not Applicable
(a) [ ] Broker or Dealer registered under Section 15 of
the Act
(b) [ ] Bank as defined in section 3(a)(6) of the Act
(c) [ ] Insurance Company as defined in section 3(a)(19)
of the Act
(d) [ ] Investment Company registered under section 8 of
the Investment Company Act
(e) [ ] Investment Advisor registered under section 203 of
the Investment Advisors Act of 1940
(f) [ ] Employee Benefit Plan, Pension Fund which is
subject to the provisions of the Employee
Retirement Income Security Act of 1974 or
Endowment Fund; see 240.13d-1(b)(1)(ii)(F)
(g) [ ] Parent Holding Company, in accordance with
240.13d-1(b)(1)(ii)(G) (Note: See Item 7)
(h) [ ] Group, in accordance with 240.13d-1(b)(1)(ii)(H)
Item 4. Ownership
0
Item 5. Ownership of Five Percent or Less of a Class
[x] The reporting person has ceased to be the beneficial
owner of more than five percent of the class.
Item 6. Ownership of More than Five Percent on Behalf of
Another Person.
0
Item 7. Identification and Classification of the Subsidiary
Which Acquired the Security Being Reported on By the
Parent Holding Company
Not applicable.
Item 8. Identification and Classification of Members of the
Group
Not applicable.
Item 9. Notice of Dissolution of the Group
Not applicable.
Item 10. Certification
Not applicable.
SIGNATURE
After reasonable inquiry and to the best of my knowledge and
belief, I certify that the information set forth in this
statement is true, complete and correct.
Date: February 14, 1997
/s/Marion Bergman
Marion Bergman, as co-trustee of the Trust
established by Stanley M. Bergman under Trust
Agreement dated September 15, 1994
/s/Leslie F. Bergman
Leslie F. Bergman, as co-trustee of the Trust
established by Stanley M. Bergman under Trust
Agreement dated September 15, 1994
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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. [_______])*
HENRY SCHEIN, INC.
(Name of issuer)
Common Stock, par value $0.01 per share
(Title of class of securities)
8064707102
(CUSIP number)
Check the following box if a fee is being paid with this
statement [x]. (A fee is not required only if the filing person:
(1) has a previous statement on file reporting beneficial
ownership of more than five percent of the class of securities
described in Item 1; and (2) has filed no amendment subsequent
thereto reporting beneficial ownership of five percent or less of
such class.) (See Rule 13d-7.)
* The remainder of this cover page shall be filled out for a
reporting person's initial filing on this form with respect to
the subject class of securities, and for any subsequent amendment
containing information which would alter the disclosures provided
in a prior cover page.
The information required in the remainder of this cover page
shall not be deemed to be "filed" for the purpose of Section 18
of the Securities Exchange Act of 1934 ("Act") or otherwise
subject to the liabilities of that section of the Act but shall
be subject to all other provisions of the Act (however, see the
Notes).
1 NAME OF REPORTING PERSON
Trust established by Stanley M. Bergman under Trust
Agreement dated September 15, 1994
S.S. or I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ]
(b) [x]
3 SEC USE ONLY
4 CITIZENSHIP OR PLACE OF ORGANIZATION
Not applicable
NUMBER OF 5 SOLE VOTING POWER 0
SHARES
BENEFICIALLY 6 SHARED VOTING POWER 1,213,777.62
OWNED BY
EACH 7 SOLE DISPOSITIVE POWER 0
REPORTING
PERSON 8 SHARED DISPOSITIVE POWER 1,213,777.62
WITH
9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
1,213,777.62
10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES
CERTAIN SHARES* [x]
11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
6.6%
12 TYPE OF REPORTING PERSON*
00
*SEE INSTRUCTIONS BEFORE FILLING OUT!
Item 1(a). Name of Issuer:
The name of the Issuer is Henry Schein, Inc. (the
"Company").
Item 1(b). Address of Issuer's Principal Executive Offices:
The address of the Company's principal executive office is
135 Duryea Road, Melville, New York 11747.
Item 2(a). Name of Person Filing:
The name of the person filing is the Trust established by
Stanley M. Bergman under Trust Agreement dated September 15, 1994
(the "Trust").
Item 2(b). Address of Principal Business Office or, if None,
Residence:
The address of the Trust's principal business office is c/o
Marion Bergman and Leslie F. Bergman, Co-Trustees, 104A
Middleville Road, Northport, New York 11768.
Item 2(c). Citizenship:
Not applicable.
Item 2(d). Title of Class of Securities
This Schedule relates to the Common Stock, par value $.01
per share ("Common Stock") of the Company.
Item 2(e). CUSIP Number:
The CUSIP number of the Common Stock is 806407102.
Item 3. If this statement is filed pursuant to Rule 13d-1(b),
or 13d-2(b), check whether the
person filing is a: Not Applicable
(a) [ ] Broker or Dealer registered under Section 15 of
the Act
(b) [ ] Bank as defined in section 3(a)(6) of the Act
(c) [ ] Insurance Company as defined in section 3(a)(19)
of the Act
(d) [ ] Investment Company registered under section 8 of
the Investment Company Act
(e) [ ] Investment Advisor registered under section 203 of
the Investment Advisors Act of 1940
(f) [ ] Employee Benefit Plan, Pension Fund which is
subject to the provisions of the Employee
Retirement Income Security Act of 1974 or
Endowment Fund; see Sec. 240.13d-1(b)(1)(ii)(F)
(g) [ ] Parent Holding Company, in accordance with Sec.
240.13d-1(b)(1)(ii)(G) (Note: See Item 7)
(h) [ ] Group, in accordance with Sec.
240.13d-1(b)(1)(ii)(H)
Item 4. Ownership
As of December 31, 1995, the Trust was the beneficial owner
of 1,213,777.62** shares of Common Stock, which represents 6.6%
of the class. As of December 31, 1995, the Trust had the shared
power to vote, or direct the vote of, and dispose, or direct the
disposition of, 1,213,777.62 shares of Common Stock.
** Does not include (i) 9,900 shares of Common Stock owned by
Stanley M. Bergman, (ii) 3,981,423.13 shares of Common Stock
which Mr. Bergman shares the power to vote, or direct the
vote of, in his capacity as voting trustee under two voting
trust agreements, (iii) 243,007.38 shares of Common Stock
owned by a trust established by Stanley M. Bergman under
Trust Agreement dated April 14, 1995, of which Marion
Bergman and Leslie F. Bergman are co-trustees, and (iv)
10,183,094.41 shares of Common Stock (other than the shares
included in Item 4) held by certain other stockholders of
the Company that are subject to the Amended and Restated HSI
Agreement ("HSI Agreement"), dated as of February 16, 1994,
between certain of the Company's stockholders and the
Company, which generally provides that (a) the Voting Trust
under agreement dated September 30, 1994 among certain
stockholders of the Company and Stanley M. Bergman, as
voting trustee (the "Voting Trust"), Pamela Schein, the
Trust established by Pamela Joseph under Trust Agreement
dated February 14, 1994, Marvin H. Schein, Stanley M.
Bergman, Martin Sperber, James P. Breslawski, and Steven
Paladino, (b) the spouse (or former spouse), children,
grandchildren or direct lineal descendants of, or parents
of, any of the persons in (a), (c) any estate of the persons
in (b), (d) any executor, guardian, committee, or other
fiduciary acting in such capacity (and the estates and
trusts for which they so act) solely on behalf or for the
benefit of any person referred to in (a) or (b), and (e) any
entity owned exclusively by any person referred to in (a)
and/or the individuals or entities referred to in (b), (c)
or (d), must vote all shares of the Company's voting
securities over which they have voting control for the
Company's nominees to the Board of Directors, which nominees
are selected in part by each of Stanley M. Bergman, Marvin
H. Schein, Pamela Joseph, and Pamela Schein. Pursuant to
the HSI Agreement, Stanley M. Bergman, Marvin H. Schein,
Pamela Joseph, and Pamela Schein will each select a certain
number of nominees for the Company's Board of Directors in
accordance with the HSI Agreement until the earlier of the
termination of the Voting Trust or January 1, 1999, subject
to extension under certain conditions to January 1, 2004,
unless certain changes occur in Marvin Schein's ownership of
Common Stock or other changes occur in the Company's
management. Currently, Mr. Schein, Ms. Joseph, and Ms.
Schein are entitled to select one nominee each to the Board
of Directors and Mr. Bergman is entitled to select the
remaining nominees to the Board of Directors. The Trust
disclaims beneficial ownership of such shares.
Item 5. Ownership of Five Percent or Less of a Class
Not applicable.
Item 6. Ownership of More than Five Percent on Behalf of
Another Person.
Marion Bergman and Leslie Bergman, as co-trustees of the
Trust, share the right with the Trust to direct the receipt of
dividends from, or the proceeds from the sale of, the
1,213,777.62 shares owned by the Trust.
Item 7. Identification and Classification of the Subsidiary
Which Acquired the Security Being Reported on By the
Parent Holding Company
Not applicable.
Item 8. Identification and Classification of Members of the
Group
Not applicable.
Item 9. Notice of Dissolution of the Group
Not applicable.
Item 10. Certification
Not applicable.
SIGNATURE
After reasonable inquiry and to the best of my knowledge and
belief, I certify that the information set forth in this
statement is true, complete and correct.
Date: February 14, 1996
/s/Marion Bergman
Marion Bergman, as co-trustee
of the Trust
established by Stanley M.
Bergman under Trust Agreement
dated September 15, 1994
/s/Leslie F. Bergman
Leslie F. Bergman, as
co-trustee of the Trust
established by Stanley M.
Bergman under Trust Agreement
dated September 15, 1994
