-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, IzbnT7FkY31NQs1/STTW8f5nvA8NJk7w7hPajLMw904frUOkyU3jOHTQsEgsJueL yCIVRQnll/qD+Z0V/nIJsA== 0000950109-96-000831.txt : 19960216 0000950109-96-000831.hdr.sgml : 19960216 ACCESSION NUMBER: 0000950109-96-000831 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19960214 SROS: NASD SUBJECT COMPANY: 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 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-41074 FILM NUMBER: 96520004 BUSINESS ADDRESS: STREET 1: 590 LINCOLN ST CITY: WALTHAM STATE: MA ZIP: 02154 BUSINESS PHONE: 6178902300 MAIL ADDRESS: STREET 1: 590 LINCOLN STREET CITY: WALTHAM STATE: MA ZIP: 02154 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: STEIN JAY A CENTRAL INDEX KEY: 0000902336 STANDARD INDUSTRIAL CLASSIFICATION: UNKNOWN SIC - 0000 [0000] STATE OF INCORPORATION: MA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 590 LINCOLN STREET CITY: WALTHAM STATE: MA ZIP: 02154 BUSINESS PHONE: 6178902300 MAIL ADDRESS: STREET 1: 590 LINCOLN STREET CITY: WALTHAM STATE: MA ZIP: 02154 SC 13G/A 1 SCHEDULE 13G/A --------------------------- OMB APPROVAL UNITED STATES OMB Number: 3235-0145 SECURITIES AND EXCHANGE COMMISSION Expires: Washington, D.C. 20549 Estimated average burden hours per response... 14.90 --------------------------- SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. 3)* Hologic, Inc. - -------------------------------------------------------------------------------- (Name of Issuer) Common Stock - -------------------------------------------------------------------------------- (Title of Class of Securities) 436440-10-1 -------------------------- (CUSIP Number) Check the following box if a fee is being paid with this statement [_]. (A fee is not required only if the filing person: (1) has a previous statement on file reporting beneficial ownership of more than five percent of the class of securities described in Item 1; and (2) has filed no amendment subsequent thereto reporting beneficial ownership of five percent or less of such class.) (See Rule 13d-7). *The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page. The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes). Page 1 of 5 pages - --------------------- ----------------- CUSIP No. 436440-10-1 13G Page 2 of 5 Pages - --------------------- ----------------- - ------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON Jay A. Stein - -------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [_] Not applicable (b) [_] - -------------------------------------------------------------------------------- 3 SEC USE ONLY - -------------------------------------------------------------------------------- 4 CITIZENSHIP OR PLACE OF ORGANIZATION U.S.A. - -------------------------------------------------------------------------------- 5 SOLE VOTING POWER Number of Shares 264,200 ---------------------------------------------------------------- Beneficially 6 SHARED VOTING POWER Owned by Each None ---------------------------------------------------------------- Reporting 7 SOLE DISPOSITIVE POWER Person With 264,200 ---------------------------------------------------------------- 8 SHARED DISPOSITIVE POWER None - -------------------------------------------------------------------------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 264,200 - -------------------------------------------------------------------------------- 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* X - -------------------------------------------------------------------------------- 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 6.27% - -------------------------------------------------------------------------------- 12 TYPE OF REPORTING PERSON* IN - -------------------------------------------------------------------------------- *SEE INSTRUCTIONS BEFORE FILLING OUT! Page 2 of 5 Pages Item 1(a) Name of Issuer: Hologic, Inc. Item 1(b) Address of Issuer's Principal Executive Offices: 590 Lincoln Street, Waltham, Massachusetts 02154. Item 2(a) Name of Person Filing: Jay A. Stein Item 2(b) Address of Principal Business Office or, if none, Residence: 590 Lincoln Street, Waltham, Massachusetts 02154. Item 2(c) Citizenship: United States Item 2(d) Title of Class of Securities: Common Stock, $.01 par value. Item 2(e) CUSIP Number: 436440-10-1 Item 3 Not Applicable Item 4 Ownership: (a) Amount Beneficially Owned: 264,200 shares of Common Stock. Includes 15,450 shares held in various trusts, of which Dr. Stein is the sole trustee with the sole power to vote and to dispose of the shares. Dr. Stein disclaims beneficial ownership of these shares. Also includes options to purchase 28,440 shares of Common Stock which are currently exercisable. Certain of these options are subject to stockholder approval. Excludes 7,190 shares held in Trust for the benefit of Dr. Stein's children, over which Dr. Stein has no power to vote or to dispose and for which Dr. Stein disclaims beneficial ownership. (b) Percent of Class: 6.27% (c) Number of shares as to which such person has: Page 3 of 5 pages (i) sole power to vote or direct the vote: 264,200 (ii) shared power to vote or to direct the vote: None (iii) sole power to dispose or to direct the disposition: 264,200 (iv) shared power to dispose or to direct the disposition: None Item 5 Ownership of Five Percent or Less of Class: Not Applicable Item 6 Ownership of More than Five Percent on Behalf of Another Person: Not Applicable Item 7 Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company: Not Applicable Item 8 Identification and Classification of Members of the Group: Not Applicable Item 9 Notice of Dissolution of Group: Not Applicable Item 10 Certification: Not Applicable Page 4 of 5 pages SIGNATURE After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. February 13, 1996 - ----------------- Date /s/ Jay A. Stein - ---------------------------- Signature Jay A. Stein/Senior Vice President - ---------------------------------- Name/Title Page 5 of 5 pages -----END PRIVACY-ENHANCED MESSAGE-----