-----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, EUAsGcbMkPIPk2DJsA0EfZcl+It6DJLB3B23OPvv82mlAUU+saV1yGEZJVQxMYOY bwnNNaD9yJa6Uv/a0rjoqw== 0000741815-04-000030.txt : 20040624 0000741815-04-000030.hdr.sgml : 20040624 20040624093655 ACCESSION NUMBER: 0000741815-04-000030 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040623 FILED AS OF DATE: 20040624 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JEWETT ROBERT W CENTRAL INDEX KEY: 0001239057 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09972 FILM NUMBER: 04878395 MAIL ADDRESS: STREET 1: 53 MADISON AVE CITY: FLEMINGTON STATE: NJ ZIP: 08822 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: 170 MT AIRY RD CITY: BASKING RIDGE STATE: NJ ZIP: 07920 BUSINESS PHONE: 9087665000 MAIL ADDRESS: STREET 1: 170 MT AIRY ROAD CITY: BASKING RIDGE STATE: NJ ZIP: 07920 4 1 c0001239057d20040624f4f.xml PRIMARY DOCUMENT X0202 4 2004-06-23 0 0000741815 HOOPER HOLMES INC HH 0001239057 JEWETT ROBERT W 33 PARSONAGE LOT ROAD LEBANON NJ 08833 0 1 0 0 Senior Vice President, General Common Stock 2004-06-23 2004-06-23 4 M 0 15400 0.9843 A 15400 D Common Stock 2004-06-23 2004-06-23 4 S 0 15400 5.55 D 0 D Common Stock 1000 I Joint with Spouse Stock Options (Right to buy) 0.9843 2004-06-23 2004-06-23 4 J 0 15400 0.9843 A 2004-06-23 2005-01-24 Common Stock 15400 15400 D Stock Options (Right to buy) 0.9843 2004-06-23 2004-06-23 4 M 0 15400 0.9843 D 2004-06-23 2005-01-24 Common Stock 15400 0 D Exercise of stock options Robert W Jewett 2004-06-24 -----END PRIVACY-ENHANCED MESSAGE-----