Carrie Lachance - 17 May 2024 Form 4 Insider Report for InfuSystem Holdings, Inc (INFU)

Role
President and COO, Director
Signature
/s/ Kevin Whitman, Attorney-in-Fact for Carrie Lachance
Issuer symbol
INFU
Transactions as of
17 May 2024
Net transactions value
-$33,275
Form type
4
Filing time
21 May 2024, 18:19:54 UTC
Previous filing
05 Mar 2024
Next filing
19 May 2025
SEC
View on sec.gov

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction INFU Common Stock Award $0 +5,052 +2.9% $0.000000 180,478 17 May 2024 Direct F2
transaction INFU Common Stock Tax liability $12,803 -1,988 -1.1% $6.44 178,490 17 May 2024 Direct F3
transaction INFU Common Stock Options Exercise $0 +8,077 +4.5% $0.000000 186,567 18 May 2024 Direct
transaction INFU Common Stock Tax liability $20,473 -3,179 -1.7% $6.44 183,388 18 May 2024 Direct F4
holding INFU Common Stock 175,426 17 May 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 Award $0 +21,219 $0.000000 21,219 17 May 2024 Common Stock 21,219 $0.000000 Direct F5
transaction INFU Stock Option (right to buy) Award $0 +96,016 $0.000000 96,016 17 May 2024 Common Stock 96,016 $6.34 Direct F6
transaction INFU Restricted Stock Units Options Exercise $0 -8,077 -100% $0.000000* 0 18 May 2024 Common Stock 8,077 Direct F5, F7
* 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 1,713 shares acquired recently through the Company's Employee Stock Purchase Plan
F2 On May 17, 2024, 5,052 performance-based restricted stock units, granted on May 17, 2022, vested
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 May 17, 2024
F4 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 May 18, 2024
F5 Restricted stock units convert into common stock on a one-for-one basis.
F6 The option, representing the right to purchase a total of 96,016 shares of InfuSystem Holdings, Inc. common stock, vests in four equal annual installments beginning May 17, 2025.
F7 These restricted stock units will cliff vested on May 18, 2024.