Scott Shuda - 14 May 2024 Form 4 Insider Report for InfuSystem Holdings, Inc (INFU)

Source evidence Original filing metadata and source links for verification. 5 source fields
SEC form
4
Accepted by SEC
16 May 2024, 19:23:04 UTC
Prior SEC filing
15 Jun 2023
Next SEC filing
21 May 2024
Source filing
View source filing
Reporting owner 1 detail
Reporting owner signature
/s/ Kevin R. Whitman, Attorney-in-Fact for Scott Shuda

Key filing fact

Scott Shuda filed Form 4 for InfuSystem Holdings, Inc (INFU) on 16 May 2024.

Key facts

  • This page summarizes Scott Shuda's Form 4 filing for InfuSystem Holdings, Inc (INFU).
  • 3 reported transactions and 1 derivative row are listed below.
  • Accepted by SEC: 16 May 2024, 19:23.

Change

  • Previous filing in this sequence was filed on 15 Jun 2023.
  • Current net transaction value: $0.

Research use

  • This tells you what this filing adds before you inspect full transaction and derivative tables.
  • You can trace every row back to the original SEC filing document.

Evidence

Filed on Form 4

Ownership activity is grounded in SEC Form 4 disclosures.

View source filing

Reported non-derivative transactions

Shares, units, or other non-derivative securities reported in this filing.

INFU transaction

Common Stock

Options Exercise

Transaction value
$164,500
Shares
+35,000
Change %
+39%
Price
$4.70
Shares after
125,494
Date
14 May 2024
Ownership
Direct
INFU transaction

Common Stock

Tax liability

Transaction value
$164,500
Shares
-23,500
Change %
-19%
Price
$7.00
Shares after
101,994
Date
14 May 2024
Ownership
Direct
Footnotes
F2
INFU holding

Common Stock

No transaction description listed

Transaction value
Shares
Change %
Price
Shares after
340,624
Date
14 May 2024
Ownership
Footnote 1
Footnotes
F1

Reported derivative securities

Options, warrants, convertible securities, or similar derivative positions disclosed in the filing.

INFU transaction Derivative

Stock Option (right to buy)

Options Exercise

Transaction value
$0
Shares
-35,000
Change %
-100%
Price
$0.000000*
Shares after
0
Date
14 May 2024
Ownership
Direct
Underlying class
Common Stock
Underlying amount
35,000
Exercise price
$4.70
Footnotes
F3
* marks a reported price that did not pass the local price check.

Additional SEC filing notes

Filing notes and footnotes

Explanation of responses 3 footnotes

Footnote F1

Mr. Shuda serves as Managing Director of (i) TSV Investment Partners, LLC, which is the sole general partner of Meridian OHC Partners, LP ("Meridian") and (ii) BlueLine Partners, LLC, which is the sole general partner of BlueLine Capital Partners II, LP ("BlueLine"). Accordingly, Mr. Shuda holds voting and dispositive power over the Common Stock held by Meridian and BlueLine. Mr. Shuda disclaims beneficial ownership for purposes of Rule 13d-3 with respect to the Common Stock held by Meridian and BlueLine.

Footnote F2

Reflects the number of shares surrendered in connection with the cashless exercise for the exercised option.

Footnote F3

The option, representing the right to purchase a total of 35,000 shares of InfuSystem Holdings, Inc. common stock, vested in twelve equal monthly installments beginning on June 15, 2019.

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