0001127602-16-049585.txt : 20160420
0001127602-16-049585.hdr.sgml : 20160420
20160420162155
ACCESSION NUMBER: 0001127602-16-049585
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160418
FILED AS OF DATE: 20160420
DATE AS OF CHANGE: 20160420
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
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Dubois Henry Edward
CENTRAL INDEX KEY: 0001349983
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-09972
FILM NUMBER: 161581560
MAIL ADDRESS:
STREET 1: 21700 ATLANTIC BOULEVARD
CITY: DULLES
STATE: VA
ZIP: 20602
4
1
form4.xml
PRIMARY DOCUMENT
X0306
4
2016-04-18
0000741815
HOOPER HOLMES INC
HH
0001349983
Dubois Henry Edward
560 N. ROGERS ROAD
OLATHE
KS
66062
1
1
President and CEO
Common Stock
1347316
D
Stock Options (Right to Buy)
.13
2016-04-18
4
A
0
750000
.13
A
2026-04-18
Common Stock
750000
750000
D
Options vest 33% upon each of the first and second anniversaries of the grant date, and 34% upon the third anniversary of the grant date. The grant date is April 18, 2016.
/s/ Henry Dubois
2016-04-20