Addam Chupa - Feb 9, 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
Stock symbol
INFU
Transactions as of
Feb 9, 2024
Transactions value $
-$13,190
Form type
4
Date filed
2/13/2024, 08:51 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 $0 +3K +15.47% $0.00 22.4K Feb 9, 2024 Direct F2
transaction INFU Common Stock Tax liability -$13.2K -1.37K -6.14% $9.60 21K Feb 9, 2024 Direct F3
holding INFU Common Stock 19.4K Feb 9, 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 -3K -100% $0.00* 0 Feb 9, 2024 Common Stock 3K 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.