Richard Dilorio - Aug 21, 2023 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
Aug 21, 2023
Transactions value $
-$1,218,159
Form type
4
Date filed
8/22/2023, 06:33 PM
Previous filing
May 22, 2023
Next filing
May 21, 2024

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction INFU Common Stock Options Exercise $636K +200K +59.84% $3.18 534K Aug 21, 2023 Direct
transaction INFU Common Stock Tax liability -$1.22M -109K -20.47% $11.14 425K Aug 21, 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 Options (right to buy) Options Exercise -$636K -200K -100% $3.18 0 Aug 21, 2023 Common Stock 200K $3.18 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 200,000 shares of InfuSystem Holdings, Inc. common stock, vested in three equal annual installments beginning August 23, 2019.