Initial Statement of Beneficial Ownership (3)
July 06 2021 - 4:23PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
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3235-0104
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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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1. Name and Address of Reporting Person
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Hellmann Elisabeth A |
2. Date of Event Requiring Statement (MM/DD/YYYY)
6/23/2021
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3. Issuer Name and Ticker or Trading Symbol
HOLOGIC INC [HOLX]
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(Last)
(First)
(Middle)
250 CAMPUS DRIVE |
4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director _____ 10% Owner ___X___ Officer (give title below) _____ Other (specify below) SVP, Human Resources / |
(Street)
MARLBOROUGH, MA 01752
(City)
(State)
(Zip)
| 5. If Amendment, Date Original Filed(MM/DD/YYYY)
| 6. Individual or Joint/Group Filing(Check Applicable Line)
_X_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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1.Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock | 7386 (1) | D | |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 4) | 2. Date Exercisable and Expiration Date (MM/DD/YYYY) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) |
Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Non-qualified Stock Option (Right to Buy) | (2) | 11/12/2028 | Common Stock | 7451 | $40.97 | D | |
Non-qualified Stock Option (Right to Buy) | (3) | 11/11/2029 | Common Stock | 8146 | $45.61 | D | |
Non-qualified Stock Option (Right to Buy) | (4) | 11/9/2030 | Common Stock | 5754 | $68.35 | D | |
Explanation of Responses: |
(1) | Includes restricted stock unit awards which vest in equal installments on each of the first three anniversaries of the grant date and are settled in shares of common stock. |
(2) | This option to purchase common stock becomes exercisable in equal installments on each of the first four anniversaries of the grant date, November 12, 2018. |
(3) | This option to purchase common stock becomes exercisable in equal installments on each of the first four anniversaries of the grant date, November 11, 2019. |
(4) | This option to purchase common stock becomes exercisable in equal installments on each of the first four anniversaries of the grant date, November 9, 2020. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Hellmann Elisabeth A 250 CAMPUS DRIVE MARLBOROUGH, MA 01752 |
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| SVP, Human Resources |
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Signatures
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/s/ Mark W. Irving, attorney-in-fact for Ms. Hellmann | | 7/6/2021 |
**Signature of Reporting Person | Date |
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