SEC Form 4/A · accession 0001127602-16-038533
HOOPER HOLMES INC · HPHW
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Steven R Balthazor
Officer — Chief Financial Officer
Period of report
Jan 25, 2016
Accepted (ET)
Jan 29, 2016 · 5:07 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000741815
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Jan 25, 2016 | X | 56,967 | $0.09 | A | 106,967 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Subscription Rights (Right to Buy) | $0.09 | Jan 25, 2016 | X | 56,967 | D | Jan 25, 2016 | Jan 25, 2016 | Common Stock | 56,967 | 0 | D |
Explanation of responses
- F1The reporting person timely filed a Form 4 to report this transaction but mistakenly reported the transaction as a purchase under code "P: on Table I instead of reporting it as the exercise of subscription rights under code "X" on both Tables I and II as has been done in this amendment.