R. Rimmy Malhotra - May 18, 2023 Form 4 Insider Report for InfuSystem Holdings, Inc (INFU)

Role
Director
Signature
/s/ Kevin Whitman, Attorney-in-Fact for R. Rimmy Malhotra
Stock symbol
INFU
Transactions as of
May 18, 2023
Transactions value $
$0
Form type
4
Date filed
5/22/2023, 08:23 PM
Previous filing
May 15, 2023
Next filing
Jun 8, 2023

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
holding INFU Common Stock 23.2K May 18, 2023 Direct
holding INFU Common Stock 223K May 18, 2023 See FN 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 Options (right to buy) Award $0 +24.4K $0.00 24.4K May 18, 2023 Common Stock 24.4K $9.18 Direct F2
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Represents shares directly owned by Nicoya Fund, LLC, a Delaware limited liability company. Mr. Malhotra is managing member of Nicoya Capital, LLC, which is the managing member of Nicoya Fund, LLC. Mr. Malhotra disclaims beneficial ownership of such shares except to the extent of his pecuniary interest therein.
F2 The option, representing the right to purchase a total of 24,424 shares of InfuSystem Holdings, Inc. common stock, vests on May 18, 2024.