FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
|
1. Name and Address of Reporting Person*
(Street)
|
2. Date of Event Requiring Statement
(Month/Day/Year) 12/14/2009 |
3. Issuer Name and Ticker or Trading Symbol
HOLOGIC INC [ HOLX ] |
|||||||||||||
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
|
5. If Amendment, Date of Original Filed
(Month/Day/Year) |
||||||||||||||
6. Individual or Joint/Group Filing (Check Applicable Line)
|
Table I - Non-Derivative Securities Beneficially Owned | |||
---|---|---|---|
1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock | 21,397 | D |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
---|---|---|---|---|---|---|---|
1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Incentive Stock Option (right to buy) | (1) | 01/26/2013 | Common Stock | 7,688 | $18.3 | D | |
Incentive Stock Option (right to buy) | (2) | 01/09/2016 | Common Stock | 22,286 | $18.475 | D | |
Non-Qualified Stock Option (right to buy) | (3) | 03/24/2010 | Common Stock | 1,384 | $12.585 | D | |
Non-Qualified Stock Option (right to buy) | (4) | 04/27/2011 | Common Stock | 5,766 | $14.245 | D | |
Non-Qualified Stock Option (right to buy) | (5) | 11/13/2015 | Common Stock | 31,000 | $14.5 | D | |
Non-Qualified Stock Option (right to buy) | (6) | 01/16/2015 | Common Stock | 9,324 | $14.87 | D | |
Non-Qualified Stock Option (right to buy) | (7) | 07/01/2014 | Common Stock | 1,152 | $15.72 | D | |
Non-Qualified Stock Option (right to buy) | (8) | 11/11/2016 | Common Stock | 16,486 | $15.75 | D | |
Non-Qualified Stock Option (right to buy) | (9) | 12/01/2014 | Common Stock | 9,226 | $17.725 | D | |
Non-Qualified Stock Option (right to buy) | (10) | 01/26/2013 | Common Stock | 7,688 | $18.3 | D | |
Non-Qualified Stock Option (right to buy) | (11) | 01/24/2012 | Common Stock | 10,764 | $18.465 | D | |
Non-Qualified Stock Option (right to buy) | (12) | 01/09/2016 | Common Stock | 8,468 | $18.475 | D |
Explanation of Responses: |
1. This incentive stock option was originally issued pursuant to Cytyc Corporation's 2004 Omnibus Stock Plan on January 26, 2007 and became fully exercisable on October 22, 2007 in connection with the merger. |
2. This incentive stock option was originally issued pursuant to Cytyc Corporation's 2004 Omnibus Stock Plan on January 9, 2006 and became fully exercisable on October 22, 2007 in connection with the merger. |
3. This non-qualified stock option was originally issued pursuant to Cytyc Corporation's 1995 Stock Plan on March 24, 2004 and became fully exercisable on October 22, 2007 in connection with the merger. |
4. This non-qualified stock option was originally issued pursuant to Cytyc Corporation's 2004 Omnibus Stock Plan on April 27, 2005 and became fully exercisable on October 22, 2007 in connection with the merger. |
5. This non-qualified stock option was originally issued on November 13, 2008 pursuant to the 2008 Equity Incentive Plan and becomes exercisable in five equal annual installments beginning November 13, 2009. |
6. This non-qualified stock option was issued on April 5, 2009 pursuant to the 2008 Equity Incentive Plan as part of the Issuer's Option Exchange Program and becomes exercisable in four equal annual installments beginning April 5, 2010. |
7. This non-qualified stock option was originally issued pursuant to Cytyc Corporation's 2004 Omnibus Stock Plan on July 1, 2004 and became fully exercisable on October 22, 2007 in connection with the merger. |
8. This non-qualified stock option was originally issued on November 11, 2009 pursuant to the 2008 Equity Incentive Plan and becomes exercisable in five equal annual installments beginning November 11, 2010. |
9. This non-qualified stock option was originally issued pursuant to Cytyc Corporation's 2004 Omnibus Stock Plan on December 1, 2004 and became fully exercisable on October 22, 2007 in connection with the merger. |
10. This non-qualified stock option was originally issued pursuant to Cytyc Corporation's 2004 Omnibus Stock Plan on January 26, 2007 and became fully exercisable on October 22, 2007 in connection with the merger. |
11. This non-qualified stock option was originally issued pursuant to Cytyc Corporation's 2004 Omnibus Stock Plan on January 24, 2006 and became fully exercisable on October 22, 2007 in connection with the merger. |
12. This non-qualified stock option was originally issued pursuant to Cytyc Corporation's 2004 Omnibus Stock Plan on January 9, 2006 and became fully exercisable on October 22, 2007 in connection with the merger. |
By: Mark J. Casey, Attorney-In-Fact For: Steve S. Williamson | 12/15/2009 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |