Addam Chupa - 31 Oct 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
Issuer symbol
INFU
Transactions as of
31 Oct 2024
Net transactions value
-$53,977
Form type
4
Filing time
04 Nov 2024, 19:31:21 UTC
Previous filing
21 May 2024
Next filing
20 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 Options Exercise $0 +20,000 +77% $0.000000 45,915 31 Oct 2024 Direct
transaction INFU Common Stock Tax liability $53,977 -8,720 -19% $6.19 37,195 31 Oct 2024 Direct F2
holding INFU Common Stock 25,915 31 Oct 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 -20,000 -100% $0.000000 0 31 Oct 2024 Common Stock 20,000 Direct F3
* 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 1,141 shares acquired recently through the Company's Employee Stock Purchase Plan
F2 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 October 31, 2024
F3 Restricted stock units convert into common stock on a one-for-one basis.