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

Role
President and COO, Director
Signature
Kevin Whitman
Issuer symbol
INFU
Transactions as of
18 May 2021
Net transactions value
$0
Form type
4
Filing time
21 May 2021, 11:28:06 UTC
Next filing
05 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* 86,261 18 May 2021 Direct

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 +11,843 $0.000000 11,843 18 May 2021 Common Stock 11,843 $19.50 Direct F1
transaction INFU Restricted Stock Units Award $0 +8,077 $0.000000 8,077 18 May 2021 Common Stock 8,077 Direct F2, F3
transaction INFU Restricted Stock Units Award $0 +2,821 $0.000000 2,821 18 May 2021 Common Stock 2,821 Direct F2, F4
transaction INFU Stock Option (right to buy) Award $0 +50,000 $0.000000 50,000 18 May 2021 Common Stock 50,000 $19.50 Direct F5
* 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 11,843 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.
F5 The option, representing the right to purchase a total of 50,000 shares of InfuSystem Holdings, Inc. common stock, vests in three equal annual installments beginning May 18, 2022.