4//SEC Filing
Chupa Addam 4
Accession 0001628280-25-026952
CIK 0001337013other
Filed
May 19, 8:00 PM ET
Accepted
May 20, 6:54 PM ET
Size
13.6 KB
Accession
0001628280-25-026952
Insider Transaction Report
Form 4
Chupa Addam
Executive VP and CIO
Transactions
- Award
Restricted Stock Units
2025-05-16+13,125→ 13,125 totalExp: 2028-05-16→ Common Stock (13,125 underlying) - Award
Stock Option (right to buy)
2025-05-16+31,176→ 31,176 totalExercise: $6.00Exp: 2035-05-16→ Common Stock (31,176 underlying) - Tax Payment
Common Stock
2025-05-17$6.15/sh−3,660$22,509→ 44,956 total - Exercise/Conversion
Restricted Stock Units
2025-05-17−10,000→ 0 totalFrom: 2025-05-17Exp: 2025-05-17→ Common Stock (10,000 underlying) - Exercise/Conversion
Common Stock
2025-05-17+10,000→ 48,616 total
Holdings
- 38,616
Common Stock
Footnotes (5)
- [F1]This total includes an additional 1,421 shares acquired recently through the Company's Employee Stock Purchase Plan
- [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 17, 2025
- [F3]The option, representing the right to purchase a total of 31,176 shares of InfuSystem Holdings, Inc. common stock, vests in four equal annual installments beginning May 16, 2026.
- [F4]Restricted stock units convert into common stock on a one-for-one basis.
- [F5]These restricted stock units vest in three equal annual installments beginning on May 16, 2026.
Documents
Issuer
InfuSystem Holdings, Inc
CIK 0001337013
Entity typeother
Related Parties
1- filerCIK 0001953233
Filing Metadata
- Form type
- 4
- Filed
- May 19, 8:00 PM ET
- Accepted
- May 20, 6:54 PM ET
- Size
- 13.6 KB