Addam Chupa - 25 Oct 2022 Form 3 Insider Report for InfuSystem Holdings, Inc (INFU)

Role
Executive VP and CIO
Signature
/s/ Kevin Whitman, Attorney-in-Fact for Addam Chupa
Issuer symbol
INFU
Transactions as of
25 Oct 2022
Net transactions value
$0
Form type
3
Filing time
04 Nov 2022, 18:49:57 UTC
Next filing
19 May 2023
SEC
View on sec.gov

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
holding INFU Common Stock 10,062 25 Oct 2022 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
holding INFU Stock Options (right to buy) 25 Oct 2022 Common Stock 20,000 $8.55 Direct F1
holding INFU Restricted Stock Units 25 Oct 2022 Common Stock 2,500 Direct F2, F3
holding INFU Stock Options (right to buy) 25 Oct 2022 Common Stock 3,000 $18.44 Direct F4
holding INFU Restricted Stock Units 25 Oct 2022 Common Stock 3,000 Direct F3, F5
holding INFU Stock Options (right to buy) 25 Oct 2022 Common Stock 14,663 $8.58 Direct F6
holding INFU Restricted Stock Units 25 Oct 2022 Common Stock 10,000 Direct F3, F7
holding INFU Restricted Stock Units 25 Oct 2022 Common Stock 9,744 Direct F3, F8
holding INFU Restricted Stock Units 25 Oct 2022 Common Stock 20,000 Direct F3, F9
* 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 20,000 shares of InfuSystem Holdings, Inc. common stock, vests in three equal annual installments beginning January 6, 2021.
F2 These restricted stock units will fully vest on May 20, 2023.
F3 Restricted stock units convert into common stock on a one-for-one basis.
F4 The option, representing the right to purchase a total of 3,000 shares of InfuSystem Holdings, Inc. common stock, vests in three equal annual installments beginning February 9, 2022.
F5 These restricted stock units will fully vest on February 9, 2024.
F6 The option, representing the right to purchase a total of 14,663 shares of InfuSystem Holdings, Inc. common stock, vests in three equal annual installments beginning May 17, 2023.
F7 These restricted stock units will fully vest on May 17, 2025.
F8 These restricted stock units will fully vest on May 17, 2023.
F9 These restricted stock units will fully vest on October 31, 2024.