4//SEC Filing
SULLIVAN PATRICK J 4
Accession 0001127602-18-011889
CIK 0001145197other
Filed
Mar 15, 8:00 PM ET
Accepted
Mar 16, 6:16 PM ET
Size
6.7 KB
Accession
0001127602-18-011889
Insider Transaction Report
Form 4
INSULET CORPPODD
SULLIVAN PATRICK J
DirectorPresident & CEO
Transactions
- Other
Common Stock
2018-03-14$84.63/sh+59,084$4,999,984→ 329,516 total
Holdings
- 28,336(indirect: By Trust)
Common Stock
Footnotes (2)
- [F1]On March 14, 2018, the reporting person withdrew 59,084 shares of Insulet Corporation common stock from a grantor retained annuity trust. In exchange for the shares, the reporting person contributed to the trust $5 million in cash and other assets. The withdrawal of shares from the trust resulted in a decrease in the number of shares the reporting person beneficially owns indirectly through the trust and a corresponding increase in the number of shares the reporting person beneficially owns directly. The reporting person believes that his withdrawal of shares from the trust constitutes a change in form of beneficial ownership of the shares exempted by Rule 16a-13 under the Securities Exchange Act of 1934.
- [F2]Includes 15,216 performance share units granted on April 1, 2015, which vest on April 1, 2018; 14,240 restricted stock units granted on February 24, 2016, which vest on February 24, 2019; 12,022 restricted stock units granted on February 22, 2017, which vest one-half of the total units on February 22, 2019 and one-half of the total units on February 22, 2020; 51,266 performance share units granted on February 24, 2016, which vest on February 24, 2019; and 12,081 restricted stock units granted on February 14, 2018, which vest as to one-third of the total units on February 14, 2019, one-third of the total units on February 14, 2020 and one-third of the total units on February 14, 2021. Vested shares will be delivered to the reporting person as soon as practicable following a vesting date.
Documents
Issuer
INSULET CORP
CIK 0001145197
Entity typeother
IncorporatedMA
Related Parties
1- filerCIK 0001039138
Filing Metadata
- Form type
- 4
- Filed
- Mar 15, 8:00 PM ET
- Accepted
- Mar 16, 6:16 PM ET
- Size
- 6.7 KB