| Name | Relationship | Address | Signature | Signature date | CIK |
|---|---|---|---|---|---|
| Steele Barry G | Executive VP and CFO | C/O INFUSYSTEM HOLDINGS, INC., 3851 WEST HAMLIN ROAD, ROCHESTER HILLS | /s/ Kevin Whitman, Attorney-in-Fact for Barry G. Steele | 20 May 2025 | 0001305741 |
| Type | Sym | Class | Transaction | Value $ | Shares | Change % | * Price $ | Shares After | Date | Ownership | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|
| transaction | INFU | Common Stock | Options Exercise | $0 | +13,636 | +18% | $0.000000 | 90,523 | 17 May 2025 | Direct | |
| transaction | INFU | Common Stock | Tax liability | $36,568 | -5,946 | -6.6% | $6.15 | 84,577 | 17 May 2025 | Direct | F1 |
| holding | INFU | Common Stock | 76,887 | 16 May 2025 | Direct |
| 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) | Award | $0 | +53,518 | $0.000000 | 53,518 | 16 May 2025 | Common Stock | 53,518 | $6.00 | Direct | F2 | |
| transaction | INFU | Restricted Stock Units | Award | $0 | +22,531 | $0.000000 | 22,531 | 16 May 2025 | Common Stock | 22,531 | Direct | F3, F4 | ||
| transaction | INFU | Restricted Stock Units | Options Exercise | $0 | -13,636 | -100% | $0.000000 | 0 | 17 May 2025 | Common Stock | 13,636 | Direct | F3, F5 |
| Id | Content |
|---|---|
| F1 | 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, 2025 |
| F2 | The option, representing the right to purchase a total of 53,518 shares of InfuSystem Holdings, Inc. common stock, vests in four equal annual installments beginning May 16, 2026. |
| F3 | Restricted stock units convert into common stock on a one-for-one basis. |
| F4 | These restricted stock units vest in three equal annual installments beginning on May 16, 2026. |
| F5 | These restricted stock units cliff vested on May 17, 2025. |