Dilorio Richard 4

4 · InfuSystem Holdings, Inc · Filed May 21, 2024

Form 4

Period: 2024-05-17

DirectorChief Executive Officer

Transactions

Tax Payment
Common Stock
2024-05-18$6.44/sh−6,819$43,914→ 440,121 total
Award
Common Stock
2024-05-17+11,659→ 438,476 total
Exercise/Conversion
Common Stock
2024-05-18+14,103→ 446,940 total
Exercise/Conversion
Restricted Stock Units
2024-05-18−14,103→ 0 total
→ Common Stock (14,103 underlying)
Award
Stock Option (right to buy)
2024-05-17+224,817→ 224,817 total
Exercise: $6.34Exp: 2034-05-17→ Common Stock (224,817 underlying)
Tax Payment
Common Stock
2024-05-17$6.44/sh−5,639$36,315→ 432,837 total
Award
Restricted Stock Units
2024-05-17+49,685→ 49,685 total
Exercise: $0.00From: 2027-05-17Exp: 2027-05-17→ Common Stock (49,685 underlying)

Holdings

Footnotes (7)

[F1]This total includes an additional 1,969 shares acquired recently through the Company's Employee Stock Purchase Plan
[F2]On May 17, 2024, 11,659 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]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 18, 2024
[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 224,817 shares of InfuSystem Holdings, Inc. common stock, vests in four equal annual installments beginning May 17, 2025.
[F7]These restricted stock units will cliff vested on May 18, 2024.

Documents

1 file