Form 4 for INFU InfuSystem Holdings, Inc
Accepted 2024-05-21 00:00:00 ET · period of report 2024-05-17 · accession 0001628280-24-024605 · 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| D | 2024-05-21 | 2024-05-17 | INFU | Dilorio Richard | CEO, Dir | A - Grant | $0.00 | +11.7K | 438.5K | +3% | $0 |
| DM | 2024-05-21 | 2024-05-17+ | INFU | Dilorio Richard | CEO, Dir | F - Tax | $6.44 | -12.5K | 432.8K | -3% | -$80.2K |
| D | 2024-05-21 | 2024-05-18 | INFU | Dilorio Richard | CEO, Dir | M - OptEx | $0.00 | +14.1K | 446.9K | +3% | $0 |
| DM | 2024-05-21 | 2024-05-17 | INFU | Dilorio Richard | CEO, Dir | A - Grant | $0.00 | +274.5K | 49.7K | New | $0 |
| D | 2024-05-21 | 2024-05-18 | INFU | Dilorio Richard | CEO, Dir | M - OptEx | $0.00 | -14.1K | 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 | 2024-05-17 | A | A | 11,659 | $0.00 | 438,476 | D | — | — | (F2) On May 17, 2024, 11,659 performance-based restricted stock units, granted on May 17, 2022, vested |
| 2 | Common | Common Stock | 2024-05-18 | F | D | 6,819 | $6.44 | 440,121 | D | — | — | |
| 3 | Common | Common Stock | 2024-05-18 | M | A | 14,103 | $0.00 | 446,940 | D | — | — | |
| 4 | Common | Common Stock | 2024-05-17 | F | D | 5,639 | $6.44 | 432,837 | D | — | — | |
| 5 | Derivative | Stock Option (right to buy) | 2024-05-17 | A | A | 224,817 | $0.00 | 224,817 | D | $6.34 · — to 2034-05-17 | 224,817 Common Stock | (F6) The option, representing the right to purchase a total of 224,817 shares of InfuSystem Holdings, Inc. common stock, vests in four equal annual installments beginning May 17, 2025. |
| 6 | Derivative | Restricted Stock Units | 2024-05-17 | A | A | 49,685 | $0.00 | 49,685 | D | $0.00 · 2027-05-17 to 2027-05-17 | 49,685 Common Stock | (F5) Restricted stock units convert into common stock on a one-for-one basis. |
| 7 | Derivative | Restricted Stock Units | 2024-05-18 | M | D | 14,103 | $0.00 | 0 | D | — · — to — | 14,103 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. |