4//SEC Filing
Chupa Addam 4
Accession 0001628280-23-019359
CIK 0001337013other
Filed
May 21, 8:00 PM ET
Accepted
May 22, 8:26 PM ET
Size
12.9 KB
Accession
0001628280-23-019359
Insider Transaction Report
Form 4
Chupa Addam
Executive VP and CIO
Transactions
- Exercise/Conversion
Common Stock
2023-05-20+2,500→ 19,481 total - Tax Payment
Common Stock
2023-05-20$9.12/sh−1,015$9,257→ 18,466 total - Award
Stock Options (right to buy)
2023-05-18+36,636→ 36,636 totalExercise: $9.18Exp: 2033-05-18→ Common Stock (36,636 underlying) - Exercise/Conversion
Restricted Stock Units
2023-05-20−2,500→ 0 total→ Common Stock (2,500 underlying) - Award
Restricted Stock Units
2023-05-18+5,447→ 5,447 totalExp: 2026-05-18→ Common Stock (5,447 underlying)
Footnotes (6)
- [F1]Vesting of restricted stock award granted on May 20, 2020
- [F2]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 20, 2023
- [F3]The option, representing the right to purchase a total of 36,636 shares of InfuSystem Holdings, Inc. common stock, vests in three equal annual installments beginning May 18, 2024.
- [F4]Restricted stock units convert into common stock on a one-for-one basis.
- [F5]These restricted stock units will fully vest on May 18, 2026.
- [F6]These restricted stock units fully vested on May 20, 2023.
Documents
Issuer
InfuSystem Holdings, Inc
CIK 0001337013
Entity typeother
Related Parties
1- filerCIK 0001953233
Filing Metadata
- Form type
- 4
- Filed
- May 21, 8:00 PM ET
- Accepted
- May 22, 8:26 PM ET
- Size
- 12.9 KB