| Name | Relationship | Address | Signature | Signature date | CIK |
|---|---|---|---|---|---|
| Funke Jerod | EVP-Chief HR Officer | C/O INFUSYSTEM HOLDINGS, INC., 3851 WEST HAMLIN ROAD, ROCHESTER HILLS | /s/ Kevin Whitman, Attorney-in-Fact for Jerod Funke | 14 Oct 2025 | 0001998115 |
| Type | Sym | Class | Transaction | Value $ | Shares | Change % | * Price $ | Shares After | Date | Ownership | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|
| transaction | INFU | Common Stock | Options Exercise | $0 | +12,500 | +127% | $0.000000 | 22,331 | 09 Oct 2025 | Direct | |
| transaction | INFU | Common Stock | Tax liability | $35,259 | -3,669 | -16% | $9.61 | 18,662 | 09 Oct 2025 | Direct | F1 |
| holding | INFU | Common Stock | 9,831 | 09 Oct 2025 | Direct |
| 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 | -12,500 | -100% | $0.000000 | 0 | 09 Oct 2025 | Common Stock | 12,500 | Direct | F2, F3 |
| 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 October 9, 2025 |
| F2 | Restricted stock units convert into common stock on a one-for-one basis. |
| F3 | These restricted stock units vest in two equal annual installments beginning on October 9, 2024. |