0001127602-12-023378.txt : 20120801 0001127602-12-023378.hdr.sgml : 20120801 20120801154757 ACCESSION NUMBER: 0001127602-12-023378 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120731 FILED AS OF DATE: 20120801 DATE AS OF CHANGE: 20120801 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Rosenblum Mark C. CENTRAL INDEX KEY: 0001455155 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09972 FILM NUMBER: 121000022 MAIL ADDRESS: STREET 1: 11 CLIVE LANE CITY: BASKING RIDGE STATE: NJ ZIP: 07920 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 ROAD 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 form4.xml PRIMARY DOCUMENT X0306 4 2012-07-31 0000741815 HOOPER HOLMES INC HH 0001455155 Rosenblum Mark C. 170 MT. AIRY ROAD BASKING RIDGE NJ 07920 1 Sr.VP, Gen Counsel & Corp Sec Stock Options (Right to Buy) .65 2012-07-31 4 A 0 100000 0 A 2022-07-31 Common Stock 100000 100000 D Options vest 33% upon each of first and second anniversaries, and 34% upon third anniversary. Suzanne Snyder, attorney-in-fact 2012-08-01