SEC Form 4 · accession 0001127602-16-069506

HOLOGIC INC · HOLX

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

Reporting owner

Officer — Chairman, President and CEO · Director

Period of report

Dec 6, 2016

Accepted (ET)

Dec 8, 2016 · 4:26 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
Common Stock^F1	Dec 6, 2016	M	19,628	—	A	469,938	D
Common Stock	Dec 6, 2016	F	9,530	$38.89	D	460,408	D
Common Stock^F2,F1	Dec 6, 2016	M	28,039	—	A	488,447	D
Common Stock^F3,F4,F5	Dec 6, 2016	M	307,760	—	A	796,207	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,F6	—	Dec 6, 2016	M	19,628	D	—	—	Common Stock	19,628	19,628	D
Restricted Stock Unit Award (Right To Receive)^F2,F1,F6	—	Dec 6, 2016	M	28,039	D	—	—	Common Stock	28,039	28,040	D
Performance Stock Unit Award (Right to Receive)^F4	$0.00	Dec 6, 2016	A	150,739	A	Dec 6, 2016	Dec 6, 2016	Common Stock	150,739	307,760	D
Performance Stock Unit Award (Right to Receive)^F4	$0.00	Dec 6, 2016	M	307,760	D	Dec 6, 2016	Dec 6, 2016	Common Stock	307,760	0	D

F1Restricted stock units convert into common stock on a one-for-one basis.
F2Represents vested RSUs that are subject to deferral pursuant to the Issuer's Deferred Equity Plan and are voluntarily being reported on Table 1.
F3Represents vested Performance Share Units (PSUs) that are subject to deferral pursuant to the Issuer's Deferred Equity Plan.
F4PSUs convert into common stock on a one-for-one basis.
F5Includes 353,118 shares subject to deferral pursuant to the Issuer's Deferred Equity Plan.
F6This RSU award vests in four equal installments beginning on first anniversary of the grant date.