Jeannine Sheehan - 18 May 2022 Form 4 Insider Report for InfuSystem Holdings, Inc (INFU)

Role
Chief Administrative Officer
Signature
/s/ Kevin Whitman, Attorney-in-Fact for Jeannine Sheehan
Issuer symbol
INFU
Transactions as of
18 May 2022
Net transactions value
-$47,920
Form type
4
Filing time
20 May 2022, 18:16:35 UTC
Previous filing
17 May 2022
Next filing
23 May 2022
SEC
View on sec.gov

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction INFU Common Stock Options Exercise $0 +2,821 +15% $0.000000 21,973 18 May 2022 Direct
transaction INFU Common Stock Tax liability $10,579 -1,252 -5.7% $8.45 20,721 18 May 2022 Direct F1
transaction INFU Common Stock Award $0 +9,744 +47% $0.000000 30,465 18 May 2022 Direct F2
transaction INFU Common Stock Tax liability $37,341 -4,419 -15% $8.45 26,046 18 May 2022 Direct F1
holding INFU Common Stock 345 18 May 2022 By children F3

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 Restricted Stock Units Options Exercise $0 -2,821 -100% $0.000000* 0 18 May 2022 Common Stock 2,821 Direct F4, F5
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Represents the withholding of the Issuer's common stock for the tax liability associated with the vesting and settlement of the common stock issued on May 18, 2022
F2 On May 18, 2022, 9,744 performance-based restricted stock units, granted on May 18, 2021, vested
F3 The reporting person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for purposes of Section 16 or for any other purpose.
F4 Restricted stock units convert into common stock on a one-for-one basis.
F5 These restricted stock units cliff vested on May 18, 2022.