-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, TEJFOnZK6R2D/h8QglNxI878xHZh+AZfHW5Bj+1FGnCXOoru8nxExUhkApy190Hm +421LGsiTYTdC5rQdo1iyg== 0000741815-05-000078.txt : 20050428 0000741815-05-000078.hdr.sgml : 20050428 20050428081608 ACCESSION NUMBER: 0000741815-05-000078 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050426 FILED AS OF DATE: 20050428 DATE AS OF CHANGE: 20050428 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ross Daniel R CENTRAL INDEX KEY: 0001301114 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09972 FILM NUMBER: 05778221 BUSINESS ADDRESS: BUSINESS PHONE: 914-921-5471 MAIL ADDRESS: STREET 1: THREE STUYVESANT AVENUE CITY: RYE STATE: NY ZIP: 10580 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HOOPER HOLMES INC CENTRAL INDEX KEY: 0000741815 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISC HEALTH & ALLIED SERVICES, NEC [8090] IRS NUMBER: 221659359 STATE OF INCORPORATION: NY FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 170 MT AIRY RD CITY: BASKING RIDGE STATE: NJ ZIP: 07920 BUSINESS PHONE: 9087665000 MAIL ADDRESS: STREET 1: 170 MT AIRY ROAD CITY: BASKING RIDGE STATE: NJ ZIP: 07920 4 1 doc.xml PRIMARY DOCUMENT X0202 4 2005-04-26 0000741815 HOOPER HOLMES INC HH 0001301114 Ross Daniel R THREE STUYVESANT AVENUE RYE NY 10580 0 1 0 0 Executive VP Common Stock 5000 I Joint With Spouse Stock Options (Right to buy) 3.46 2005-04-26 4 A 0 30000 3.46 A 2007-04-26 2015-04-26 Common Stock 30000 30000 D Robert W. Jewett, Power of Attorney 2005-04-28 -----END PRIVACY-ENHANCED MESSAGE-----