-----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, KdF2evUyTwvCqqbpokGGyZ4rKdsOweEbeLecyTrKiLlvSVejb7/AtagVtA46KYa2 3EP4eHT5Gi8SDuPMn0tZRw== 0000741815-05-000119.txt : 20051118 0000741815-05-000119.hdr.sgml : 20051118 20051118160234 ACCESSION NUMBER: 0000741815-05-000119 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20051118 FILED AS OF DATE: 20051118 DATE AS OF CHANGE: 20051118 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ROSSANO KENNETH R CENTRAL INDEX KEY: 0001239078 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09972 FILM NUMBER: 051215360 MAIL ADDRESS: STREET 1: 63 HUNDREDS CIRCLE CITY: WELLESLEY STATE: MA ZIP: 02481 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 2005-11-18 0000741815 HOOPER HOLMES INC HH 0001239078 ROSSANO KENNETH R 170 MT. AIRY ROAD BASKING RIDGE NJ 07920 1 0 0 0 Common Stock 2005-11-18 2005-11-18 4 A 0 20000 2.1094 A 98848 D Common Stock 2005-11-18 2005-11-18 4 J 0 20000 0 D 78848 D Common Stock 967680 I C. Rossano Trust Common Stock 2005-11-18 2005-11-18 4 J 0 20000 0 A 58248 I Kenneth R. Rossano 1991 Trust Common Stock 479648 I Spouse Stock Options (Right to buy) 2.1094 2005-11-18 2005-11-18 4 M 0 20000 2.1094 D 1998-03-20 2007-03-20 Common Stock 20000 170000 D Option vests 20% after one year and 20% each year thereafter. Shares transferred without consideration from Kenneth R. Rossano Robert W. Jewett, Attorney-in-fact 2005-11-18 -----END PRIVACY-ENHANCED MESSAGE-----