Richard Dilorio - 14 Nov 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
Issuer symbol: INFU
Transactions as of: 14 Nov 2022
Net transactions value: -$494,995
Form type: 4
Filing time: 16 Nov 2022, 19:16:18 UTC
Previous filing: 26 Aug 2022
Next filing: 23 Mar 2023
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	$332,664	+166,332	+65%	$2.00^*	422,851	14 Nov 2022	Direct
transaction	INFU	Common Stock	Tax liability	$827,659	-95,024	-22%	$8.71	327,827	14 Nov 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	-166,332	-100%	$0.000000^*	0	14 Nov 2022	Common Stock	166,332	$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.