Carrie Lachance - 16 May 2025 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
16 May 2025
Net transactions value
-$37,454
Form type
4
Filing time
20 May 2025, 18:55:08 UTC
Previous filing
19 May 2025
Next filing
25 Sep 2025
SEC
View on sec.gov

Reporting Owners (1)

Name Relationship Address Signature Signature date CIK
Lachance Carrie President and COO, Director C/O INFUSYSTEM HOLDINGS, INC., 3851 WEST HAMLIN ROAD, ROCHESTER HILLS /s/ Kevin Whitman, Attorney-in-Fact for Carrie Lachance 20 May 2025 0001790024

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction INFU Common Stock Options Exercise $0 +17,727 +9.3% $0.000000 207,939 17 May 2025 Direct
transaction INFU Common Stock Tax liability $37,454 -6,090 -2.9% $6.15 201,849 17 May 2025 Direct F1
holding INFU Common Stock 190,212 16 May 2025 Direct

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 Stock Options (right to buy) Award $0 +74,228 $0.000000 74,228 16 May 2025 Common Stock 74,228 $6.00 Direct F2
transaction INFU Stock Option (right to buy) Award $0 +128,000 $0.000000 128,000 16 May 2025 Common Stock 128,000 $6.00 Direct F2
transaction INFU Restricted Stock Units Award $0 +31,250 $0.000000 31,250 16 May 2025 Common Stock 31,250 Direct F3, F4
transaction INFU Restricted Stock Units Options Exercise $0 -17,727 -100% $0.000000 0 17 May 2025 Common Stock 17,727 Direct F3, F5
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

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 74,228 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.