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

Role
Director
Signature
/s/ Kevin R. Whitman, Attorney-in-Fact for Scott Shuda
Stock symbol
INFU
Transactions as of
May 14, 2024
Transactions value $
$0
Form type
4
Date filed
5/16/2024, 07:23 PM
Previous filing
Jun 15, 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 $165K +35K +38.68% $4.70 125K May 14, 2024 Direct
transaction INFU Common Stock Tax liability -$165K -23.5K -18.73% $7.00 102K May 14, 2024 Direct F2
holding INFU Common Stock 341K May 14, 2024 Footnote 1 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 Option (right to buy) Options Exercise $0 -35K -100% $0.00* 0 May 14, 2024 Common Stock 35K $4.70 Direct F3
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
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.
F2 Reflects the number of shares surrendered in connection with the cashless exercise for the exercised option.
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.