SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
LASH FRED

(Last) (First) (Middle)
14 MIRADOR CT

(Street)
DENVILLE NJ 07834

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
HOOPER HOLMES INC [ HH ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Senior Vice President, CFO & T
3. Date of Earliest Transaction (Month/Day/Year)
11/20/1995
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 03/20/2000 M 44,000(1) A $1.8675 44,000 D
Common Stock 03/20/2000 S 44,000 D $17.9094 0 D
Common Stock 03/30/2000 M 10,000 A $1.4844 10,000 D
Common Stock 03/30/2000 S 10,000 D $16.0237 0 D
Common Stock 03/31/2000 M 20,000 A $1.4844 20,000 D
Common Stock 03/31/2000 S 20,000 D $16.36 0 D
Common Stock 08/04/2000 M 24,000 A $1.4844 24,000 D
Common Stock 08/04/2000 M 30,000 A $1.4844 54,000 D
Common Stock 08/04/2000 S 24,000 D $12.5 30,000 D
Common Stock 08/04/2000 S 30,000 D $13.3813 0 D
Common Stock 06/06/2001 M 10,000 A $0.9844 10,000 D
Common Stock 06/06/2001 S 10,000 D $10.2548 0 D
Common Stock 06/07/2001 M 10,000 A $0.9844 10,000 D
Common Stock 06/07/2001 S 10,000 D $10.3576 0 D
Common Stock 06/08/2001 M 10,000 A $0.9844 10,000 D
Common Stock 06/08/2001 S 10,000 D $10.3576 0 D
Common Stock 06/11/2001 M 10,000 A $0.9844 10,000 D
Common Stock 06/11/2001 S 10,000 D $10.25 0 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Options (Right to buy) $1 11/20/1995 A 120,000(1) 11/20/1997 11/20/2005 Common Stock 120,000 $1 120,000 D
Stock Options (Right to buy) $2.0313 01/28/1997 A 160,000 01/28/1999 01/28/2007 Common Stock 160,000 $2.0313 160,000 D
Stock Options (Right to buy) $3.6875 02/06/1998 A 40,000 02/06/2000 02/06/2008 Common Stock 40,000 $3.6875 40,000 D
Stock Options (Right to buy) $6.6875 12/21/1998 A 60,000 12/21/2000 12/21/2008 Common Stock 60,000 $6.6875 60,000 D
Stock Options (Right to buy) $12.875 12/31/1999 A 40,000 12/31/2001 12/31/2009 Common Stock 40,000 $12.875 40,000 D
Stock Options (Right to buy) $1.8675 03/20/2000 M 44,000 04/09/1995 04/09/2003 Common Stock 44,000 $1.8675 0 D
Stock Options (Right to buy) $1.4844 03/30/2000 M 10,000 01/25/1996 01/25/2004 Common Stock 10,000 $1.4844 74,000 D
Stock Options (Right to buy) $1.4844 03/31/2000 M 20,000 01/25/1996 01/25/2004 Common Stock 20,000 $1.4844 54,000 D
Stock Options (Right to buy) $1.4844 08/04/2000 M 24,000 01/25/1996 01/25/2004 Common Stock 24,000 $1.4844 30,000 D
Stock Options (Right to buy) $1.4844 08/04/2000 M 30,000 01/25/1996 01/25/2004 Common Stock 30,000 $1.4844 0 D
Stock Options (Right to buy) $10.76 01/29/2001 A 50,000 01/29/2003 01/29/2011 Common Stock 50,000 $10.76 50,000 D
Stock Options (Right to buy) $0.9844 06/06/2001 M 10,000 01/24/1997 01/24/2005 Common Stock 10,000 $0.9844 80,400 D
Stock Options (Right to buy) $0.9844 06/07/2001 M 10,000 01/24/1997 01/24/2005 Common Stock 10,000 $0.9844 70,400 D
Stock Options (Right to buy) $0.9844 06/08/2001 M 10,000 01/24/1997 01/24/2005 Common Stock 10,000 $0.9844 60,400 D
Stock Options (Right to buy) $0.9844 06/11/2001 M 10,000 01/24/1997 01/24/2005 Common Stock 10,000 $0.9844 50,400 D
Stock Options (Right to buy) $6.85 10/23/2001 A 25,000 10/23/2003 10/23/2011 Common Stock 25,000 $6.85 25,000 D
Stock Options (Right to buy) $6.18 07/30/2002 A 30,000 07/30/2004 07/30/2012 Common Stock 30,000 $6.18 30,000 D
Stock Options (Right to buy) $5.02 03/20/2003 A 60,000 03/20/2005 03/20/2013 Common Stock 60,000 $5.02 60,000 D
Explanation of Responses:
1. The number of options, the exercise price and the number of shares of common stock reflected herein have been adjusted to reflect three two-for-one stock splits effected in September 1997, January 1999 and April 2000.
Robert W. Jewett, Attorney-in-fact 04/13/2005
** 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 4 (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.