Carrie Lachance - Sep 2, 2022 Form 4 Insider Report for InfuSystem Holdings, Inc (INFU)

Role
President and COO, Director
Signature
/s/ Kevin Whitman, Attorney-in-Fact for Carrie Lachance
Stock symbol
INFU
Transactions as of
Sep 2, 2022
Transactions value $
-$24,689
Form type
4
Date filed
9/6/2022, 06:50 PM
Previous filing
May 23, 2022
Next filing
Mar 20, 2023

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction INFU Common Stock Options Exercise $19.8K +10K +8.69% $1.98* 125K Sep 2, 2022 Direct
transaction INFU Common Stock Tax liability -$33.9K -4.36K -3.49% $7.77 121K Sep 2, 2022 Direct F1
transaction INFU Common Stock Options Exercise $14.9K +7.5K +6.21% $1.98* 128K Sep 2, 2022 Direct
transaction INFU Common Stock Tax liability -$25.4K -3.27K -2.55% $7.77 125K Sep 2, 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 Stock Option (right to buy) Options Exercise $0 -10K -100% $0.00* 0 Sep 2, 2022 Common Stock 10K $1.98 Direct F2
transaction INFU Stock Option (right to buy) Options Exercise $0 -7.5K -100% $0.00* 0 Sep 2, 2022 Common Stock 7.5K $1.98 Direct F3
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Reflects the number of shares surrendered in connection with the cashless exercise and tax withholding obligations for the exercised option.
F2 The option, representing the right to purchase a total of 10,000 shares of InfuSystem Holdings, Inc. common stock, vests 50% per year on the anniversary starting September 7, 2018.
F3 The option, representing the right to purchase a total of 7,500 shares of InfuSystem Holdings, Inc. common stock, vests 33% per year on the anniversary starting September 7, 2018.