0001705880-17-000002.txt : 20170705
0001705880-17-000002.hdr.sgml : 20170705
20170705180247
ACCESSION NUMBER: 0001705880-17-000002
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170630
FILED AS OF DATE: 20170705
DATE AS OF CHANGE: 20170705
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: 560 N. ROGERS ROAD
CITY: OLATHE
STATE: KS
ZIP: 66062
BUSINESS PHONE: 9137641045
MAIL ADDRESS:
STREET 1: 560 N. ROGERS ROAD
CITY: OLATHE
STATE: KS
ZIP: 66062
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Bazos Frank R
CENTRAL INDEX KEY: 0001705880
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-09972
FILM NUMBER: 17949574
MAIL ADDRESS:
STREET 1: C/O CENTURY EQUITY PARTNERS, LLC
STREET 2: 100 FEDERAL STREET, 29TH FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02110
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2017-06-30
0
0000741815
HOOPER HOLMES INC
HPHW
0001705880
Bazos Frank R
C/O CENTURY EQUITY PARTNERS, LLC
100 FEDERAL STREET, 29TH FLOOR
BOSTON
MA
02110
1
0
1
0
Common Stock
2017-06-30
4
A
0
4600
0
A
4600
D
Common Stock
12519259
I
By holding company
These shares are directly held by WH-HH Holdings, LLC ("Holdings"). The managers of Holdings are Frank Bazos ("Bazos")and Stephen Marquardt ("Marquardt" and, together with Bazos, the "Holdco Managers"), each of whom were appointed and may be removed by Century Focused Fund III, L.P. ("CFF III"). Any disposition of the shares directly held by Holdings must be approved by CFF III in addition to the Managers. The general partner of CFF III is CCP Focused III, L.P. ("CCP GP").
The general partner of CCP GP is CCP Focused III, LLC ("CCP GP LLC"). The individual managers of CCP GP LLC are Bazos, Davis R. Fulkerson ("Fulkerson"), Chrles L. Kline ("Kline") and David C. Sherwood ("Sherwood" and, collectively with Bazos, Fulkerson and Kline, the "CCP Managers") and, as such, each of the Holdco Managers, CFF III, CCP GP, CCP GP LLC, and the CCP Managers exercises shared voting and investment power over the shares held of record by Holdings. The Reporting Person disclaims beneficial ownership of the shares except to the extend of his pecuniary interest therein, if any.
Frank Bazos, by Davis R. Fulkerson, attorny-in-fact
2017-07-05