4//SEC Filing
Chupa Addam 4
Accession 0001628280-24-024592
CIK 0001337013other
Filed
May 20, 8:00 PM ET
Accepted
May 21, 6:14 PM ET
Size
13.5 KB
Accession
0001628280-24-024592
Insider Transaction Report
Form 4
Chupa Addam
Executive VP and CIO
Transactions
- Award
Restricted Stock Units
2024-05-17+11,830→ 11,830 totalExercise: $0.00From: 2027-05-17Exp: 2027-05-17→ Common Stock (11,830 underlying) - Award
Common Stock
2024-05-17+2,850→ 24,761 total - Tax Payment
Common Stock
2024-05-17$6.44/sh−987$6,356→ 23,774 total - Award
Stock Option (right to buy)
2024-05-17+53,528→ 53,528 totalExercise: $6.34Exp: 2034-05-17→ Common Stock (53,528 underlying) - Purchase
Common Stock
2024-05-21$6.67/sh+1,000$6,670→ 24,774 total
Holdings
- 21,911
Common Stock
Footnotes (6)
- [F1]This total includes an additional 892 shares acquired recently through the Company's Employee Stock Purchase Plan
- [F2]On May 17, 2024, 2,850 performance-based restricted stock units, granted on May 17, 2022, vested
- [F3]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 17, 2024
- [F4]The price reported in Column 4 is a weighted average price. These shares reported herein were purchased in multiple transactions. The reporting person undertakes to provide to the Issuer, and security holder of the Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares purchased at each separate price.
- [F5]Restricted stock units convert into common stock on a one-for-one basis.
- [F6]The option, representing the right to purchase a total of 53,528 shares of InfuSystem Holdings, Inc. common stock, vests in four equal annual installments beginning May 17, 2025.
Documents
Issuer
InfuSystem Holdings, Inc
CIK 0001337013
Entity typeother
Related Parties
1- filerCIK 0001953233
Filing Metadata
- Form type
- 4
- Filed
- May 20, 8:00 PM ET
- Accepted
- May 21, 6:14 PM ET
- Size
- 13.5 KB