-----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, VrVYvZlbcN1GtQrNS5GeX6zjQ9J1fpdLvNkhDXA5eUdKUEI0isV5in3+ftRX19fo dSjAUkDq78TKywgnKaT8rQ== 0000741815-05-000112.txt : 20050916 0000741815-05-000112.hdr.sgml : 20050916 20050916155302 ACCESSION NUMBER: 0000741815-05-000112 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050915 FILED AS OF DATE: 20050916 DATE AS OF CHANGE: 20050916 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GOLDBERG DAVID J CENTRAL INDEX KEY: 0001239055 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09972 FILM NUMBER: 051089121 MAIL ADDRESS: STREET 1: 53 MADISON AVE CITY: FLEMINGTON STATE: NJ ZIP: 08822 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 2005-09-15 0000741815 HOOPER HOLMES INC HH 0001239055 GOLDBERG DAVID J 170 MT. AIRY ROAD BASKING RIDGE NJ 07920 0 1 0 0 Senior Vice President Common Stock 2005-09-15 4 M 0 1900 1 A 31366 D Common Stock 2005-09-15 4 S 0 1900 4.1995 D 29466 D Common Stock 2005-09-16 4 M 0 7100 1 A 36566 D Common Stock 2005-09-16 4 S 0 7100 4.1247 D 29466 D Stock Options (Right to buy) 1 2005-09-15 4 M 0 1900 4.1995 D 1997-11-20 2005-11-20 Common Stock 1900 7100 D Stock Options (Right to buy) 1 2005-09-16 4 M 0 7100 4.1247 D 1997-11-20 2005-11-20 Common Stock 7100 0 D Robert W. Jewett, Attorney-in-fact 2005-09-16 -----END PRIVACY-ENHANCED MESSAGE-----