0000741815-17-000040.txt : 20170530 0000741815-17-000040.hdr.sgml : 20170529 20170530153425 ACCESSION NUMBER: 0000741815-17-000040 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170530 DATE AS OF CHANGE: 20170530 EFFECTIVENESS DATE: 20170530 FILER: COMPANY DATA: COMPANY CONFORMED NAME: HOOPER HOLMES INC CENTRAL INDEX KEY: 0000741815 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISC HEALTH & ALLIED SERVICES, NEC [8090] IRS NUMBER: 221659359 STATE OF INCORPORATION: NY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-282821 FILM NUMBER: 17877190 BUSINESS ADDRESS: STREET 1: 560 N. ROGERS ROAD CITY: OLATHE STATE: KS ZIP: 66062 BUSINESS PHONE: 9137641045 MAIL ADDRESS: STREET 1: 560 N. ROGERS ROAD CITY: OLATHE STATE: KS ZIP: 66062 D/A 1 primary_doc.xml X0707 D/A LIVE 0000741815 HOOPER HOLMES INC 560 N. ROGERS ROAD OLATHE KS KANSAS 66062 9137641045 NEW YORK None None Corporation true Henry E. Dubois 560 N. Rogers Road Olathe KS KANSAS 66062 Executive Officer Director Chief Executive Officer Steven R. Balthazor 560 N. Rogers Road Olathe KS KANSAS 66062 Executive Officer Chief Financial Officer Ronald V. Aprahamian 560 N. Rogers Road Olathe KS KANSAS 66062 Director Mark J. Emkjer 560 N. Rogers Road Olathe KS KANSAS 66062 Director Larry Ferguson 560 N. Rogers Road Olathe KS KANSAS 66062 Director Gus D. Halas 560 N. Rogers Road Olathe KS KANSAS 66062 Director Thomas A. Watford 560 N. Rogers Road Olathe KS KANSAS 66062 Director Other Health Care $25,000,001 - $100,000,000 06b true 0000741815-17-000009 2017-03-02 false true true true true This is a private placement being made in connection with the merger of Piper Merger Corp., our wholly-owned subsidiary, with and into Provant Health Solutions, LLC. 10000 3500000 3500000 0 false 11 0 0 0 false HOOPER HOLMES INC /s/ Henry E. Dubois Henry E. Dubois Chief Executive Officer 2017-05-30