Richard Dilorio - 21 Aug 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
Issuer symbol: INFU
Transactions as of: 21 Aug 2023
Net transactions value: -$1,218,159
Form type: 4
Filing time: 22 Aug 2023, 18:33:24 UTC
Previous filing: 22 May 2023
Next filing: 21 May 2024
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	$636,000	+200,000	+60%	$3.18	534,198	21 Aug 2023	Direct
transaction	INFU	Common Stock	Tax liability	$1,218,159	-109,350	-20%	$11.14	424,848	21 Aug 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	$636,000	-200,000	-100%	$3.18	0	21 Aug 2023	Common Stock	200,000	$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.