Carrie Lachance - May 17, 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
Stock symbol
INFU
Transactions as of
May 17, 2024
Transactions value $
-$33,275
Form type
4
Date filed
5/21/2024, 06:19 PM
Previous filing
Mar 5, 2024

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction INFU Common Stock Award $0 +5.05K +2.88% $0.00 180K May 17, 2024 Direct F2
transaction INFU Common Stock Tax liability -$12.8K -1.99K -1.1% $6.44 178K May 17, 2024 Direct F3
transaction INFU Common Stock Options Exercise $0 +8.08K +4.53% $0.00 187K May 18, 2024 Direct
transaction INFU Common Stock Tax liability -$20.5K -3.18K -1.7% $6.44 183K May 18, 2024 Direct F4
holding INFU Common Stock 175K May 17, 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 +21.2K $0.00 21.2K May 17, 2024 Common Stock 21.2K $0.00 Direct F5
transaction INFU Stock Option (right to buy) Award $0 +96K $0.00 96K May 17, 2024 Common Stock 96K $6.34 Direct F6
transaction INFU Restricted Stock Units Options Exercise $0 -8.08K -100% $0.00* 0 May 18, 2024 Common Stock 8.08K 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.