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

Role
Director
Signature
/s/ Kevin Whitman, Attorney-in-Fact for R. Rimmy Malhotra
Issuer symbol
INFU
Transactions as of
18 May 2023
Net transactions value
$0
Form type
4
Filing time
22 May 2023, 20:23:29 UTC
Previous filing
15 May 2023
Next filing
08 Jun 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 23,225 18 May 2023 Direct
holding INFU Common Stock 222,574 18 May 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 +24,424 $0.000000 24,424 18 May 2023 Common Stock 24,424 $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.