Form 4 for INFU InfuSystem Holdings, Inc
Accepted 2024-05-21 00:00:00 ET · period of report 2024-05-17 · accession 0001628280-24-024603 · 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 | 2024-05-21 | 2024-05-17+ | INFU | Lachance Carrie | Pres, COO, Dir | F - Tax | $6.44 | -5,167 | 183.4K | -3% | -$33.3K |
| D | 2024-05-21 | 2024-05-18 | INFU | Lachance Carrie | Pres, COO, Dir | M - OptEx | $0.00 | +8,077 | 186.6K | +5% | $0 |
| D | 2024-05-21 | 2024-05-17 | INFU | Lachance Carrie | Pres, COO, Dir | A - Grant | $0.00 | +5,052 | 180.5K | +3% | $0 |
| D | 2024-05-21 | 2024-05-18 | INFU | Lachance Carrie | Pres, COO, Dir | M - OptEx | $0.00 | -8,077 | 0 | -100% | $0 |
| DM | 2024-05-21 | 2024-05-17 | INFU | Lachance Carrie | Pres, COO, Dir | A - Grant | $0.00 | +117.2K | 96.0K | New | $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 | 2024-05-17 | F | D | 1,988 | $6.44 | 178,490 | D | — | — | |
| 2 | Common | Common Stock | 2024-05-18 | M | A | 8,077 | $0.00 | 186,567 | D | — | — | |
| 3 | Common | Common Stock | 2024-05-18 | F | D | 3,179 | $6.44 | 183,388 | D | — | — | (F4) 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 18, 2024 |
| 4 | Common | Common Stock | 2024-05-17 | A | A | 5,052 | $0.00 | 180,478 | D | — | — | (F2) On May 17, 2024, 5,052 performance-based restricted stock units, granted on May 17, 2022, vested |
| 5 | Derivative | Restricted Stock Units | 2024-05-18 | M | D | 8,077 | $0.00 | 0 | D | — · — to — | 8,077 Common Stock | (F5) Restricted stock units convert into common stock on a one-for-one basis. (F7) These restricted stock units will cliff vested on May 18, 2024. |
| 6 | Derivative | Restricted Stock Units | 2024-05-17 | A | A | 21,219 | $0.00 | 21,219 | D | $0.00 · 2027-05-17 to 2027-05-17 | 21,219 Common Stock | (F5) Restricted stock units convert into common stock on a one-for-one basis. |
| 7 | Derivative | Stock Option (right to buy) | 2024-05-17 | A | A | 96,016 | $0.00 | 96,016 | D | $6.34 · — to 2034-05-17 | 96,016 Common Stock | (F6) The option, representing the right to purchase a total of 96,016 shares of InfuSystem Holdings, Inc. common stock, vests in four equal annual installments beginning May 17, 2025. |