Addam Chupa - 09 Feb 2024 Form 4 Insider Report for InfuSystem Holdings, Inc (INFU)

Role
Executive VP and CIO
Signature
/s/ Kevin Whitman, Attorney-in-Fact for Addam Chupa
Issuer symbol
INFU
Transactions as of
09 Feb 2024
Net transactions value
-$13,190
Form type
4
Filing time
13 Feb 2024, 20:51:18 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 $0 +3,000 +15% $0.000000 22,393 09 Feb 2024 Direct F2
transaction INFU Common Stock Tax liability $13,190 -1,374 -6.1% $9.60 21,019 09 Feb 2024 Direct F3
holding INFU Common Stock 19,393 09 Feb 2024 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 Restricted Stock Units Options Exercise $0 -3,000 -100% $0.000000* 0 09 Feb 2024 Common Stock 3,000 Direct F4
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 This total includes an additional 927 shares acquired recently through the Company's Employee Stock Purchase Plan
F2 These restricted stock units fully vested on February 9, 2024.
F3 Represents the withholding of the Issuer's common stock for the tax liability associated with the vesting and settlement of the common stock issued on February 9, 2024
F4 Restricted stock units convert into common stock on a one-for-one basis.