Thomas Mark Ruiz - 17 May 2022 Form 4 Insider Report for InfuSystem Holdings, Inc (INFU)

Source evidence Original filing metadata and source links for verification. 5 source fields
SEC form
4
Accepted by SEC
17 May 2022, 17:14:49 UTC
Prior SEC filing
30 Dec 2021
Next SEC filing
20 May 2022
Source filing
View source filing
Reporting owner 1 detail
Reporting owner signature
/s/ Kevin Whitman, Attorney-in-Fact for Thomas Ruiz

Key filing fact

Thomas Mark Ruiz filed Form 4 for InfuSystem Holdings, Inc (INFU) on 17 May 2022.

Key facts

  • This page summarizes Thomas Mark Ruiz's Form 4 filing for InfuSystem Holdings, Inc (INFU).
  • 2 reported transactions and 2 derivative rows are listed below.
  • Accepted by SEC: 17 May 2022, 17:14.

Change

  • Previous filing in this sequence was filed on 30 Dec 2021.
  • Current net transaction value: $0.

Research use

  • This tells you what this filing adds before you inspect full transaction and derivative tables.
  • You can trace every row back to the original SEC filing document.

Evidence

Filed on Form 4

Ownership activity is grounded in SEC Form 4 disclosures.

View source filing

Reported non-derivative transactions

Shares, units, or other non-derivative securities reported in this filing.

INFU holding

Common Stock

No transaction description listed

Transaction value
Shares
Change %
Price
Shares after
17,712
Date
17 May 2022
Ownership
Direct
Footnotes
F1

Reported derivative securities

Options, warrants, convertible securities, or similar derivative positions disclosed in the filing.

INFU transaction Derivative

Stock Option (right to buy)

Award

Transaction value
$0
Shares
+18,328
Change %
Price
$0.000000
Shares after
18,328
Date
17 May 2022
Ownership
Direct
Underlying class
Common Stock
Underlying amount
18,328
Exercise price
$8.58
Footnotes
F2, F3
INFU transaction Derivative

Restricted Stock Units

Award

Transaction value
$0
Shares
+12,500
Change %
Price
$0.000000
Shares after
12,500
Date
17 May 2022
Ownership
Direct
Underlying class
Common Stock
Underlying amount
12,500
Exercise price
Footnotes
F4, F5
* marks a reported price that did not pass the local price check.

Additional SEC filing notes

Filing notes and footnotes

Explanation of responses 5 footnotes

Footnote F1

This total includes an additional 732 shares acquired recently through the Company's Employee Stock Purchase Plan

Footnote F2

The stock option was issued with an exercise price equal to the Fair Value as defined by the 2021 Equity Plan, which is computed as the closing price of the Company's common stock reported on the NYSE American LLC on the date of grant.

Footnote F3

The option, representing the right to purchase a total of 18,328 shares of InfuSystem Holdings, Inc. common stock, vests in three equal annual installments beginning May 17, 2023.

Footnote F4

Restricted stock units convert into common stock on a one-for-one basis.

Footnote F5

These restricted stock units will cliff vest on May 17, 2025.

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