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FORM 4
[ ] Check this box if no longer
subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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1. Name and Address of Reporting Person*
Cumming, John W.
(Last) (First) (Middle)
c/o Hologic, Inc.
35 Crosby Drive
(Street)
Bedford, MA 01730
(City) (State) (Zip)
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2. Issuer Name and Ticker or Trading Symbol Hologic, Inc.
HOLX 3. I.R.S. Identification
Number of Reporting Person, if an entity (voluntary) |
4. Statement for Month/Day/Year 1/3/2003
5. If Amendment, Date of Original (Month/Day/Year) |
6. Relationship of Reporting Person(s) to Issuer
(Check all applicable) X Director
10% Owner
X Officer (give title below)
Other (specify below)
Description
President & Chief Executive Officer
7. 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 Acquired, Disposed of, or Beneficially Owned
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1. Title of Security (Instr. 3) |
2.Transaction
Date (Month/Day/Year) |
2A. Deemed Execution Date, if any
(Month/Day/Year) |
3. Transaction Code (Instr. 8) |
4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4, and 5) |
5. Amount of
Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) |
6. Owner-
ship Form: Direct (D) or Indirect (I) (Instr. 4) |
7. Nature of
Indirect Beneficial Ownership (Instr. 4) |
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Code
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V
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Amount
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A/D
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Price
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Common Stock, $.01 par value
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1/3/2003
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I
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V
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185
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A
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$10.52088
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I
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by wife (1)
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|||||
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Common Stock, $.01 par value
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7/1/2002
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I
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V
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242
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A
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$8.03
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I
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by wife (1)
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$
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4,320
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D
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|||||
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$
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427
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I
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by wife (1)
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Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivative Security
(Instr. 3) |
2. Conver-
sion or Exercise Price of Deri- vative Security |
3. Transaction Date
(Month/ Day/ Year) |
3A. Deemed Execution Date, if any
(Month/ Day/ Year) |
4. Transaction Code (Instr.8) |
5. Number of Derivative Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) |
6. Date Exercisable(DE) and
Expiration Date(ED) (Month/Day/Year) |
7. Title and Amount of
Underlying Securities (Instr. 3 and 4) |
8. Price
of Derivative Security (Instr.5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr.4) |
10. Owner- ship Form of Deriv- ative Securities: Direct (D) or Indirect (I) (Instr.4) |
11. Nature of Indirect Beneficial Ownership (Instr.4) |
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Code
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V
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A
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D
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DE
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ED
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Title
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Amount or Number of Shares
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| Option**(Right to buy) | $5.625 |
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6/25/1999
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6/25/2009
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COMMON STOCK
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30,000
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$
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D
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| Option**(Right to buy) | $7.6875 |
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11/25/2000***
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8/25/2010
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COMMON STOCK
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100,000
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$
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D
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| Option**(Right to buy) | $5.00 |
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1/25/2001***
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10/25/2010
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COMMON STOCK
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70,000
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$
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D
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| Option**(Right to buy) | $5.78 |
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10/31/2001***
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7/31/2011
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COMMON STOCK
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150,000
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$
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D
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| Option**(Right to buy) | $5.05 |
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10/01/2002
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10/01/2011
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COMMON STOCK
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1,000
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$
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D
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| Option**(Right to buy) | $10.26 |
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11/13/2002***
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11/13/2011
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COMMON STOCK
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50,000
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$
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D
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| Option**(Right to buy) | $9.50 |
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9/17/2003***
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9/17/2012
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COMMON STOCK
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75,000
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$
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D
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| Option**(Right to buy) | $4.25 | 3/27/2001 |
A
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5,000 |
3/27/2002***
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3/27/2011
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COMMON STOCK
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5,000
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$
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I
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by wife (2) | ||
| Option**(Right to buy) | $5.05 | 10/1/2001 |
A
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500 |
10/1/2002
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10/1/2011
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COMMON STOCK
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500
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$
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I
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by wife (2) | ||
| Option**(Right to buy) | $10.26 | 11/13/2001 |
A
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2,500 |
11/13/2002***
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11/13/2011
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COMMON STOCK
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2,500
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$
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I
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by wife (2) | ||
| Option**(Right to buy) | $9.50 | 9/17/2002 |
A
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2,500 |
9/17/2003***
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9/17/2012
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COMMON STOCK
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2,500
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$
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I
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by wife (2) | ||
| $ |
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$
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476,000
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D
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| $ |
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$
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10,500
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I
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by wife (2) | |||||
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(1) The listing of holdings of my wife on Table 1 is not intended to signify in any way that I own or have a beneficial interest in those shares. These represent 185 on 1/3/2003 and 242 7/1/2002 shares acquired under the Hologic Section 423 Employee Share Purchase Plan by my wife.
(2) The listing of holdings of my wife on Table 2 is not intended to signify in any way that I own or have a beneficial interest in those employee stock options. **Employee Stock Option ***Subject to vesting schedule Pursuant to a Power of Attorney dated September 19, 2002, the reporting person appointed each of Glenn P. Muir and Susan Schoenhals to act as the reporting person's attorney-in-fact with respect to Section 16 filings to be filed with the SEC. The Power of Attorney shall remain in effect until the reporting person is no longer a Section 16 reporting person or such earlier time as the reporting person revokes the Power of Attorney. |
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By: /s/ John W. Cumming 1/8/2003 ** Signature of Reporting Person Date SEC 1474 (9-02) |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. * If the form is filed by more than one reporting person, see Instruction 4(b)(v). ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |