0001031323-17-000002.txt : 20171121 0001031323-17-000002.hdr.sgml : 20171121 20171121172253 ACCESSION NUMBER: 0001031323-17-000002 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171116 FILED AS OF DATE: 20171121 DATE AS OF CHANGE: 20171121 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Johnson Kevin T. CENTRAL INDEX KEY: 0001723452 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09972 FILM NUMBER: 171217783 MAIL ADDRESS: STREET 1: 560 NORTH ROGERS ROAD CITY: OLATHE STATE: KS ZIP: 66062 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: 560 N. ROGERS ROAD CITY: OLATHE STATE: KS ZIP: 66062 BUSINESS PHONE: 9137641045 MAIL ADDRESS: STREET 1: 560 N. ROGERS ROAD CITY: OLATHE STATE: KS ZIP: 66062 3 1 primary_doc.xml PRIMARY DOCUMENT X0206 3 2017-11-16 0 0000741815 HOOPER HOLMES INC HPHW 0001723452 Johnson Kevin T. 560 NORTH ROGERS ROAD OLATHE KS 66062 0 1 0 0 Chief Financial Officer Stock Option (Right to Buy) 0.65 2027-09-11 Common Stock 187500 D Stock Option (Right to Buy) 0.65 2027-09-11 Common Stock 62500 D Shares subject to this option vest in 25% tranches on the first four anniversaries of the grant date of September 11, 2017. Shares subject to this option vest and become exercisable only if the Company achieves certain run rate synergies for the calendar year ending December 31, 2017. Kevin T. Johnson 2017-11-20