SEC Form 4

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* Jacobs, Irwin (Last) (First) (Middle) c/o Hologic, Inc. 35 Crosby Drive (Street) Bedford, MA 01730 (City) (State) (Zip) 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 091/241/~~2002~~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 Officer (give title below) Other (specify below) Description 7. Individual or Joint/Group Filing (Check Applicable Line) X Form filed by One Reporting Person Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned

1. Title of Security (Instr. 3)

2.TransactionDate(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)

Code

Amount

A/D

Price

Common Stock, $.01 par value

9/24/2002

2,000

$2.6875

4,000

Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)

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-shipForm ofDeriv-ativeSecurities:Direct (D)orIndirect (I)(Instr.4)

11. Nature of Indirect Beneficial Ownership (Instr.4)

Code

Title

Amount or Number of Shares

Option*(Right to buy)

$2.6875

9/24/2002

2,000

6/15/1993

12/15/2002

COMMON STOCK

2,000

Option*(Right to buy)

$1.8125

6/15/1994

12/15/2003

COMMON STOCK

4,000

Option*(Right to buy)

$7.00

6/15/1995

12/15/2004

COMMON STOCK

4,000

Option*(Right to buy)

$18.75

6/15/1996

12/15/2005

COMMON STOCK

8,000

Option*(Right to buy)

$24.00

6/15/1997

12/15/2006

COMMON STOCK

8,000

Option*(Right to buy)

$28.125

6/15/1998

12/15/2007

COMMON STOCK

8,000

Option*(Right to buy)

$11.00

6/15/1999

12/15/2008

COMMON STOCK

8,000

Option*(Right to buy)

$8.875

1/1/2000***

3/9/2009

COMMON STOCK

25,000

Option*(Right to buy)

$5.75

7/1/2000

1/1/2010

COMMON STOCK

3,000

Option*(Right to buy)

$5.3125

7/1/2001

1/1/2011

COMMON STOCK

3,000

Option*(Right to buy)

$9.29

7/1/2002

1/1/2012

COMMON STOCK

3,000

74,000

Option*(Right to buy)

$12.21

1/1/2003

3,000

7/1/2003

1/1/2013

COMMON STOCK

3,000

77,000

Explanation of Responses:

*Non-qualified stock option
***Subject to vesting schedule

By: /s/ Irwin Jacobs 091/263/~~2002~~2003 ** Signature of Reporting Person Date SEC 1474 (89-02) 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.

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