| Name | Relationship | Address | Signature | Signature date | CIK |
|---|---|---|---|---|---|
| Shuda Scott | Director | C/O INFUSYSTEM HOLDINGS, INC., 3851 WEST HAMLIN ROAD, ROCHESTER HILLS | /s/ Kevin R. Whitman, Attorney-in-Fact for Scott Shuda | 20 May 2025 | 0001486636 |
| Type | Sym | Class | Transaction | Value $ | Shares | Change % | * Price $ | Shares After | Date | Ownership | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|
| holding | INFU | Common Stock | 101,994 | 16 May 2025 | Direct | ||||||
| holding | INFU | Common Stock | 298,383 | 16 May 2025 | Footnote 1 | F1 |
| 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 | +39,588 | $0.000000 | 39,588 | 16 May 2025 | Common Stock | 39,588 | $6.00 | Direct | F2 | |
| transaction | INFU | Stock Options (right to buy) | Award | $0 | +11,876 | $0.000000 | 11,876 | 16 May 2025 | Common Stock | 11,876 | $6.00 | Direct | F3 |
| 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 ("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 | The option, representing the right to purchase 39,588 shares of InfuSystem Holdings, Inc. common stock, vests on May 16, 2026. |
| F3 | The option, representing the right to purchase 11,876 shares of InfuSystem Holdings, Inc. common stock, vests on May 16, 2026. |