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