Carrie Lachance - Jun 30, 2023 Form 4 Insider Report for InfuSystem Holdings, Inc (INFU)

Role: President and COO, Director
Signature: /s/ Kevin Whitman, Attorney-in-Fact for Carrie Lachance
Stock symbol: INFU
Transactions as of: Jun 30, 2023
Transactions value $: -$37,817
Form type: 4
Date filed: 7/3/2023, 06:35 PM
Previous filing: May 22, 2023
Next filing: Mar 5, 2024

Transactions Table

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Ownership	Footnotes
transaction	INFU	Common Stock	Options Exercise	$84K	+25K	+19.07%	$3.36	156K	Jun 30, 2023	Direct
transaction	INFU	Common Stock	Tax liability	-$122K	-12.7K	-8.15%	$9.57	143K	Jun 30, 2023	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	-25K	-100%	$0.00^*	0	Jun 30, 2023	Common Stock	25K	$3.36	Direct	F2

* 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.
F2	The option, representing the right to purchase a total of 25,000 shares of InfuSystem Holdings, Inc. common stock, vests 33% per year on the anniversary starting July 19, 2019.