4//SEC Filing
Lachance Carrie 4
Accession 0001628280-25-026955
CIK 0001337013other
Filed
May 19, 8:00 PM ET
Accepted
May 20, 6:55 PM ET
Size
15.6 KB
Accession
0001628280-25-026955
Insider Transaction Report
Form 4
Lachance Carrie
DirectorPresident and COO
Transactions
- Tax Payment
Common Stock
2025-05-17$6.15/sh−6,090$37,454→ 201,849 total - Award
Stock Options (right to buy)
2025-05-16+74,228→ 74,228 totalExercise: $6.00From: 2026-05-16Exp: 2035-05-16→ Common Stock (74,228 underlying) - Award
Stock Option (right to buy)
2025-05-16+128,000→ 128,000 totalExercise: $6.00From: 2026-05-16Exp: 2035-05-16→ Common Stock (128,000 underlying) - Exercise/Conversion
Restricted Stock Units
2025-05-17−17,727→ 0 total→ Common Stock (17,727 underlying) - Exercise/Conversion
Common Stock
2025-05-17+17,727→ 207,939 total - Award
Restricted Stock Units
2025-05-16+31,250→ 31,250 totalFrom: 2026-05-16Exp: 2028-05-16→ Common Stock (31,250 underlying)
Holdings
- 190,212
Common Stock
Footnotes (5)
- [F1]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
- [F2]The option, representing the right to purchase a total of 74,228 shares of InfuSystem Holdings, Inc. common stock, vests in four equal annual installments beginning May 16, 2026.
- [F3]Restricted stock units convert into common stock on a one-for-one basis.
- [F4]These restricted stock units vest in three equal annual installments beginning on May 16, 2026.
- [F5]These restricted stock units cliff vested on May 17, 2025.
Documents
Issuer
InfuSystem Holdings, Inc
CIK 0001337013
Entity typeother
Related Parties
1- filerCIK 0001790024
Filing Metadata
- Form type
- 4
- Filed
- May 19, 8:00 PM ET
- Accepted
- May 20, 6:55 PM ET
- Size
- 15.6 KB