Jeannine Sheehan - 18 May 2021 Form 4 Insider Report for InfuSystem Holdings, Inc (INFU)

Role
Chief Administrative Officer
Signature
Kevin Whitman
Issuer symbol
INFU
Transactions as of
18 May 2021
Net transactions value
$0
Form type
4
Filing time
21 May 2021, 11:11:27 UTC
Next filing
29 Nov 2021
SEC
View on sec.gov

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction INFU Common Stock Purchase $0 0 0% $0.000000* 9,164 18 May 2021 Direct
transaction INFU Common Stock Purchase $0 0 0% $0.000000* 195 18 May 2021 By children
transaction INFU Common Stock Purchase $0 0 0% $0.000000* 345 18 May 2021 By children

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
transaction INFU Stock Option (right to buy) Award $0 +9,775 $0.000000 9,775 18 May 2021 Common Stock 9,775 $19.50 Direct F1
transaction INFU Restricted Stock Units Award $0 +6,667 $0.000000 6,667 18 May 2021 Common Stock 6,667 Direct F2, F3
transaction INFU Restricted Stock Units Award $0 +2,821 $0.000000 2,281 18 May 2021 Common Stock 2,281 Direct F2, F4
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 The option, representing the right to purchase a total of 9,775 shares of InfuSystem Holdings, Inc. common stock, vests in three equal annual installments beginning May 18, 2022.
F2 Restricted stock units convert into common stock on a one-for-one basis.
F3 These restricted stock units will cliff vest on May 18, 2024.
F4 These restricted stock units will cliff vest on May 18, 2022.