Richard Dilorio - Nov 14, 2022 Form 4 Insider Report for InfuSystem Holdings, Inc (INFU)

Role
Chief Executive Officer, Director
Signature
/s/ Kevin Whitman, Attorney-in-Fact for Richard Dilorio
Stock symbol
INFU
Transactions as of
Nov 14, 2022
Transactions value $
-$494,995
Form type
4
Date filed
11/16/2022, 07:16 PM
Previous filing
Aug 26, 2022
Next filing
Mar 23, 2023

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction INFU Common Stock Options Exercise $333K +166K +64.84% $2.00* 423K Nov 14, 2022 Direct
transaction INFU Common Stock Tax liability -$828K -95K -22.47% $8.71 328K Nov 14, 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 -166K -100% $0.00* 0 Nov 14, 2022 Common Stock 166K $2.00 Direct
* 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.