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