UNITED STATES OMB APPROVAL
SECURITIES AND EXCHANGE COMMISSION OMB number: 3235-0145
Washington, D.C. 20549 Expires: August 31, 1991
Estimated average burden
hours per response 14.90
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. 4)
Hologic, Inc.
--------------
(Name of Issuer)
Common Stock
-----------------------
(Title of Class of Securities)
436440-10-1
-----------
(CUSIP Number)
Check the following box if a fee is being paid with this statement ____. A
fee is not required only if the filing
person: (1) has a previous statement on file reporting beneficial ownership of
more than five percent of the class of securities described in Item i; and (2)
has filed no amendment subsequent thereto reporting beneficial ownership of
five percent of less of such class.) (See Rule 13d-7).
The remainder of this cover page shall be filled out for a reporting person's
initial filing on this form with respect to the subject class of securities,
and for any subsequent amendment containing information which would alter the
disclosures provided in a prior cover page.
The information required in the remainder of this cover page shall not be
deemed to be "filed" for the purpose of Section 18 of the Securities Exchange
Act of 1934 ("ACT") or otherwise subject to the liabilities of that section of
the Act but shall be subject to all other provisions of the Act (however, see
the Notes).
Page 1 of 5
CUSIP No. 436440-10-1 Page __2___of__5___Pages
1 NAME OF REPORTING PERSON
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Jay A. Stein
- - --------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a)
(b)
- - --------------------------------------------------------------------
3 SEC USE ONLY
- - --------------------------------------------------------------------
4 CITIZENSHIP OR PLACE OF ORGANIZATION
U.S.A.
- - --------------------------------------------------------------------
5 SOLE VOTING POWER: 379,850
NUMBER OF
SHARES -------------------------------------------
BENEFICIALLY 6 SHARED VOTING POWER: None
OWNED BY
EACH -------------------------------------------
REPORTING 7 SOLE DISPOSITIVE POWER: 379,850
PERSON
WITH -------------------------------------------
8 SHARED DISPOSITIVE POWER: None
- - --------------------------------------------------------------------
9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
379,850
- - --------------------------------------------------------------------
10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*
X
- - -----------------------------------------------------------------------
11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
2.95%
- - ------------------------------------------------------------------------
12 TYPE OF REPORTING*:
In
- - ------------------------------------------------------------------------
SEE INSTRUCTIONS BEFORE FILLING OUT!
Page 2 of 5
Item 1 (a)
Name of Issuer: Hologic, Inc.
Item 1 (b)
Address of Issuer's Principal Executive Offices: 590 Lincoln Street,
Waltham, Massachusetts 02154
Item 2 (a)
Name of Person Filing: Jay A. Stein
Item 2 (b)
Address of Principal Business Office or, if none, Residence: 590 Lincoln
Street, Waltham, Massachusetts 02154
Item 2 (c)
Citizenship: United States
Item 2 (d)
Title of Class of Securities: Common Stock, $.01 par value
Item 2 (e)
CUSIP Number: 436440-10-1
Item 3
If this statement is filed pursuant to Rules 13d-1(b), or 13d-2(b), check
whether the person filing is a: Not Applicable
Item 4
Ownership:
(a) Amount Beneficially Owned: 379,850 shares of Common Stock.
Includes (i) 58,000 shares of Common Stock which are exercisable within
60 days of February 14, 1997; (ii) 27,230 shares held in Trust, of which
Dr. Stein is the sole trustee with the sole power to vote and to dispose
of the shares. Dr. Stein disclaims beneficial ownership of the shares
held by the Trust and those held in Custody. Excludes 7,230 shares held
in Trust for the benefit of Dr. Stein's children, over which Dr. Stein
has no power to vote or to dispose and for which Dr. Stein disclaims
beneficial ownership.
Page 3 of 5
(b) Percent of Class: 2.95%
(c) Number of shares as to which such person has:
(i) sole power to vote or direct the vote:
379,850
(ii) shared power to vote or to direct the vote:
None
(iii) sole power to dispose or to direct the
disposition: 379,850
(iv) shared power to dispose or to direct the
disposition: None
Item 5
Ownership of Five Percent or Less of a Class:
If this statement is being filed to report the fact that as of the date hereof
the reporting person has ceased to be the beneficial owner of more than five
percent of the class of securities, check the following _X_.
Item 6
Ownership of More than Five Percent on Behalf of Another Person: Not
Applicable
Item 7
Identification and Classification of the Subsidiary Which Acquired the
Security being Reported on By the Parent Holding Company: Not Applicable
Item 8
Identification and Classification of Members of the Group: Not Applicable
Item 9
Notice of Dissolution of Group: Not Applicable
Item 10
Certification: Not Applicable
Page 4 of 5
Signature
After reasonable inquiry and to the best of my knowledge and belief, I
certify that the information set forth in this statement is true, complete and
correct.
February 14, 1997
- - -------------------
Date
/s/ Jay A. Stein
- - ------------------
Signature
Jay A. Stein / S.V.P. and Technical Director
- - -------------------------------------------
Name/Title
Page 5 of 5
UNITED STATES OMB APPROVAL
SECURITIES AND EXCHANGE COMMISSION OMB number: 3235-0145
Washington, D.C. 20549 Expires: August 31, 1991
Estimated average burden
hours per response 14.90
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. ____)
Hologic, Inc.
-------------
(Name of Issuer)
Common Stock
-----------------------
(Title of Class of Securities)
436440-10-1
------------
(CUSIP Number)
Check the following box if a fee is being paid with this statement X. A fee
is not required only if the filing person: (1) has a previous statement on
file reporting beneficial ownership of more than five percent of the class of
securities described in Item i; and (2) has filed no amendment subsequent
thereto reporting beneficial ownership of five percent of less of such class.)
(See Rule 13d-7).
The remainder of this cover page shall be filled out for a reporting person's
initial filing on this form with respect to the subject class of securities,
and for any subsequent amendment containing information which would alter the
disclosures provided in a prior cover page.
The information required in the remainder of this cover page shall not be
deemed to be "filed" for the purpose of Section 18 of the Securities Exchange
Act of 1934 ("ACT") or otherwise subject to the liabilities of that section of
the Act but shall be subject to all other provisions of the Act (however, see
the Notes).
Page 1 of 6
CUSIP No. 436440-10-1 Page __2___of__5___Pages
1 NAME OF REPORTING PERSON
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Jay A. Stein
- - ---------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a)
(b)
- - ---------------------------------------------------------------------
3 SEC USE ONLY
- - --------------------------------------------------------------------
4 CITIZENSHIP OR PLACE OF ORGANIZATION
U.S.A.
- - --------------------------------------------------------------------
5 SOLE VOTING POWER: 275,020
NUMBER OF
SHARES -------------------------------------
BENEFICIALLY 6 SHARED VOTING POWER: None
OWNED BY
EACH -------------------------------------
REPORTING 7 SOLE DISPOSITIVE POWER: 275,020
PERSON
WITH -------------------------------------
8 SHARED DISPOSITIVE POWER: None
- - --------------------------------------------------------------------
9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
275,020
- - --------------------------------------------------------------------
10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*
X
- - ---------------------------------------------------------------------
11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
7.2%
- - ----------------------------------------------------------------------
12 TYPE OF REPORTING*:
In
- - ----------------------------------------------------------------------
SEE INSTRUCTIONS BEFORE FILLING OUT!
Page 2 of 6
Item 1 (a)
Name of Issuer: Hologic, Inc.
Item 1 (b)
Address of Issuer's Principal Executive Offices: 590 Lincoln Street,
Waltham, Massachusetts 02154
Item 2 (a)
Name of Person Filing: Jay A. Stein
Item 2 (b)
Address of Principal Business Office or, if none, Residence: 590 Lincoln
Street, Waltham, Massachusetts 02154
Item 2 (c)
Citizenship: United States
Item 2 (d)
Title of Class of Securities: Common Stock, $.01 par value
Item 2 (e)
CUSIP Number: 436440-10-1
Item 3
If this statement is filed pursuant to Rules 13d-1(b), or 13d-2(b), check
whether the person filing is a: Not Applicable
Item 4
Ownership:
(a) Amount Beneficially Owned: 275,020 shares of Common Stock.
Includes 4,750 shares held in a Trust, of which Dr. Stein is the sole
trustee with the sole power to vote and to dispose of the shares, for
which Dr. Stein disclaims beneficial ownership. Excludes the following
shares for which Dr. Stein disclaims beneficial ownership: (i) 7,150
shares held in a Trust for the benefit of Dr. Stein's children, over
which Dr. Stein has no power to vote or to dispose and (ii) 40 shares
held by certain of Dr. Stein children.
Page 3 of 6
(b) Percent of Class: 7.2%
(c) Number of shares as to which such person has:
(i) sole power to vote or direct the vote:
275,020
(ii) shared power to vote or to direct the vote:
None
(iii) sole power to dispose or to direct the
disposition: 275,020
(iv) shared power to dispose or to direct the
disposition: None
Item 5
Ownership of Five Percent or Less of a Class:
Not Applicable.
Item 6
Ownership of More than Five Percent on Behalf of Another Person: Not
Applicable
Item 7
Identification and Classification of the Subsidiary Which Acquired the
Security being Reported on By the Parent Holding Company: Not Applicable
Item 8
Identification and Classification of Members of the Group: Not Applicable
Item 9
Notice of Dissolution of Group: Not Applicable
Item 10
Certification: Not Applicable
Page 4 of 6
Signature
After reasonable inquiry and to the best of my knowledge and belief, I
certify that the information set forth in this statement is true, complete and
correct.
February 7, 1991
- - -------------------
Date
/s/ Jay A. Stein
- - -------------------
Signature
Jay A. Stein
- - --------------------
Name
Page 5 of 6
EXHIBIT
AGREEMENT PURSUANT TO RULE 13d-1 (f) (l) (iii)
Pursuant to Rule 13d-1 (f) (l) (iii), the undersigned does hereby agree
that the Schedule 13G to which this Agreement is attached as an exhibit shall
be deemed filed on behalf of the undersigned.
DATED: February 7, 1991 /s/ Jay A. Stein
------------------
Jay A. Stein
Page 6 of 6
