Thomas Mark Ruiz - May 18, 2022 Form 4 Insider Report for InfuSystem Holdings, Inc (INFU)

Role
Chief Commercial Officer
Signature
/s/ Kevin Whitman, Attorney-in-Fact for Thomas Ruiz
Stock symbol
INFU
Transactions as of
May 18, 2022
Transactions value $
-$47,565
Form type
4
Date filed
5/20/2022, 06:17 PM
Previous filing
May 17, 2022
Next filing
May 23, 2022

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction INFU Common Stock Options Exercise $0 +2.82K +15.93% $0.00 20.5K May 18, 2022 Direct
transaction INFU Common Stock Tax liability -$11.7K -1.39K -6.76% $8.45 19.1K May 18, 2022 Direct F1
transaction INFU Common Stock Award $0 +9.74K +50.9% $0.00 28.9K May 18, 2022 Direct F2
transaction INFU Common Stock Tax liability -$35.8K -4.24K -14.68% $8.45 24.6K May 18, 2022 Direct F1

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 -2.82K -100% $0.00* 0 May 18, 2022 Common Stock 2.82K Direct F3, F4
* 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 Restricted stock units convert into common stock on a one-for-one basis.
F4 These restricted stock units cliff vested on May 18, 2022.