Form 4 for INFU InfuSystem Holdings, Inc
Accepted 2022-09-06 00:00:00 ET · period of report 2022-09-02 · accession 0001628280-22-024410 · SEC index · Original document
Summary rows
Aggregated the way they appear in lists: one row per insider, transaction code and security table.
| X | Filed | Traded | Ticker | Insider | Title | Type | Price | Qty | Owned | ΔOwn | Value |
|---|---|---|---|---|---|---|---|---|---|---|---|
| DM | 2022-09-06 | 2022-09-02 | INFU | Lachance Carrie | Pres, COO, Dir | F - Tax | $7.77 | -7,637 | 124.9K | -6% | -$59.3K |
| DM | 2022-09-06 | 2022-09-02 | INFU | Lachance Carrie | Pres, COO, Dir | M - OptEx | $1.98 | +17.5K | 128.2K | +16% | +$34.6K |
| DM | 2022-09-06 | 2022-09-02 | INFU | Lachance Carrie | Pres, COO, Dir | M - OptEx | $0.00 | -17.5K | 0 | -100% | $0 |
Purchase Sale Sale after option exercise All abbreviations
Every reported transaction
| # | Table | Security | Date | Code | A/D | Shares | Price | Owned after | Own | Exercise / expiry | Underlying | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | Common | Common Stock | 2022-09-02 | F | D | 4,364 | $7.77 | 120,712 | D | — | — | (F1) Reflects the number of shares surrendered in connection with the cashless exercise and tax withholding obligations for the exercised option. |
| 2 | Common | Common Stock | 2022-09-02 | F | D | 3,273 | $7.77 | 124,939 | D | — | — | (F1) Reflects the number of shares surrendered in connection with the cashless exercise and tax withholding obligations for the exercised option. |
| 3 | Common | Common Stock | 2022-09-02 | M | A | 10,000 | $1.98 | 125,076 | D | — | — | |
| 4 | Common | Common Stock | 2022-09-02 | M | A | 7,500 | $1.98 | 128,212 | D | — | — | |
| 5 | Derivative | Stock Option (right to buy) | 2022-09-02 | M | D | 10,000 | $0.00 | 0 | D | $1.98 · 2018-09-07 to 2022-09-06 | 10,000 Common Stock | (F2) The option, representing the right to purchase a total of 10,000 shares of InfuSystem Holdings, Inc. common stock, vests 50% per year on the anniversary starting September 7, 2018. |
| 6 | Derivative | Stock Option (right to buy) | 2022-09-02 | M | D | 7,500 | $0.00 | 0 | D | $1.98 · 2018-09-07 to 2022-09-06 | 7,500 Common Stock | (F3) The option, representing the right to purchase a total of 7,500 shares of InfuSystem Holdings, Inc. common stock, vests 33% per year on the anniversary starting September 7, 2018. |