0001127602-17-030292.txt : 20171025 0001127602-17-030292.hdr.sgml : 20171025 20171025162317 ACCESSION NUMBER: 0001127602-17-030292 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170929 FILED AS OF DATE: 20171025 DATE AS OF CHANGE: 20171025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ULLIAN ELAINE CENTRAL INDEX KEY: 0001190290 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36214 FILM NUMBER: 171153287 MAIL ADDRESS: STREET 1: C/O HOLOGIC, INC. CITY: BEDFORD STATE: MA ZIP: 01730 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HOLOGIC INC CENTRAL INDEX KEY: 0000859737 STANDARD INDUSTRIAL CLASSIFICATION: X-RAY APPARATUS & TUBES & RELATED IRRADIATION APPARATUS [3844] IRS NUMBER: 042902449 STATE OF INCORPORATION: DE FISCAL YEAR END: 0930 BUSINESS ADDRESS: STREET 1: 250 CAMPUS DRIVE CITY: MARLBOROUGH STATE: MA ZIP: 01752 BUSINESS PHONE: 5082632900 MAIL ADDRESS: STREET 1: 250 CAMPUS DRIVE CITY: MARLBOROUGH STATE: MA ZIP: 01752 5 1 form5.xml PRIMARY DOCUMENT X0306 5 2017-09-29 0 0 0000859737 HOLOGIC INC HOLX 0001190290 ULLIAN ELAINE 250 CAMPUS DRIVE MARLBOROUGH MA 01752 1 Common Stock 2017-08-22 5 G 0 998 0 D 23810 D The Reporting Person voluntarily transferred a total of 998 shares of common stock to individual irrevocable trusts for the benefit of her children since the date of her most recently filed Form 4. Includes 3,260 shares subject to deferral pursuant to Issuer's Deferred Equity Plan. /s/ Patricia K. Dolan, attorney-in-fact for Ms. Ullian 2017-10-25