4//SEC Filing
Shuda Scott 4
Accession 0001628280-24-023875
CIK 0001337013other
Filed
May 15, 8:00 PM ET
Accepted
May 16, 7:23 PM ET
Size
9.8 KB
Accession
0001628280-24-023875
Insider Transaction Report
Form 4
Shuda Scott
Director
Transactions
- Tax Payment
Common Stock
2024-05-14$7.00/sh−23,500$164,500→ 101,994 total - Exercise/Conversion
Common Stock
2024-05-14$4.70/sh+35,000$164,500→ 125,494 total - Exercise/Conversion
Stock Option (right to buy)
2024-05-14−35,000→ 0 totalExercise: $4.70Exp: 2024-05-15→ Common Stock (35,000 underlying)
Holdings
- 340,624(indirect: Footnote 1)
Common Stock
Footnotes (3)
- [F1]Mr. Shuda serves as Managing Director of (i) TSV Investment Partners, LLC, which is the sole general partner of Meridian OHC Partners, LP ("Meridian") and (ii) BlueLine Partners, LLC, which is the sole general partner of BlueLine Capital Partners II, LP ("BlueLine"). Accordingly, Mr. Shuda holds voting and dispositive power over the Common Stock held by Meridian and BlueLine. Mr. Shuda disclaims beneficial ownership for purposes of Rule 13d-3 with respect to the Common Stock held by Meridian and BlueLine.
- [F2]Reflects the number of shares surrendered in connection with the cashless exercise for the exercised option.
- [F3]The option, representing the right to purchase a total of 35,000 shares of InfuSystem Holdings, Inc. common stock, vested in twelve equal monthly installments beginning on June 15, 2019.
Documents
Issuer
InfuSystem Holdings, Inc
CIK 0001337013
Entity typeother
Related Parties
1- filerCIK 0001486636
Filing Metadata
- Form type
- 4
- Filed
- May 15, 8:00 PM ET
- Accepted
- May 16, 7:23 PM ET
- Size
- 9.8 KB