SEC Form 4 · accession 0001127602-16-069201

HOLOGIC INC · HOLX

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Officer — Division Pres., Breast Health

Period of report

Nov 5, 2016

Accepted (ET)

Dec 5, 2016 · 7:40 pm EST

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0000859737

Table I — non-derivative securities

Security	Date	Code	Shares	Price	A/D	Owned after	D/I	Nature of ownership
Common Stock^F1,F2	Nov 5, 2016	M	2,085	—	A	3,342	D
Common Stock^F3,F2,F4	Dec 1, 2016	A	8,634	—	A	13,228	D

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Restricted Stock Unit Award (Right To Receive)^F1,F2,F3	—	Nov 5, 2016	M	2,085	D	—	Nov 5, 2018	Common Stock	2,085	4,171	D
Non-qualified Stock Option (Right to Buy)^F5	$37.64	Dec 1, 2016	A	26,683	A	—	Dec 1, 2026	Common Stock	26,683	26,683	D

F1Represents vested RSUs that are subject to deferral pursuant to the Issuer's Deferred Equity Plan and are voluntarily being reported on Table 1.
F2RSUs convert into common stock on a one-for-one basis upon vesting.
F3Represents RSUs which vest in equal installments on each of the first three anniversaries of the grant date and are settled in shares of common stock.
F4Includes 2,085 shares subject to deferral pursuant to the Issuer's Deferred Equity Plan.
F5This option to purchase common stock becomes exercisable in equal installments on each of the first four anniversaries of the grant date.