Home/Filings/4/0001628280-24-024603
4//SEC Filing

Lachance Carrie 4

Accession 0001628280-24-024603

CIK 0001337013other

Filed

May 20, 8:00 PM ET

Accepted

May 21, 6:19 PM ET

Size

16.7 KB

Accession

0001628280-24-024603

Insider Transaction Report

Form 4
Period: 2024-05-17
Lachance Carrie
DirectorPresident and COO
Transactions
  • Award

    Common Stock

    2024-05-17+5,052180,478 total
  • Award

    Restricted Stock Units

    2024-05-17+21,21921,219 total
    Exercise: $0.00From: 2027-05-17Exp: 2027-05-17Common Stock (21,219 underlying)
  • Exercise/Conversion

    Restricted Stock Units

    2024-05-188,0770 total
    Common Stock (8,077 underlying)
  • Exercise/Conversion

    Common Stock

    2024-05-18+8,077186,567 total
  • Tax Payment

    Common Stock

    2024-05-18$6.44/sh3,179$20,473183,388 total
  • Tax Payment

    Common Stock

    2024-05-17$6.44/sh1,988$12,803178,490 total
  • Award

    Stock Option (right to buy)

    2024-05-17+96,01696,016 total
    Exercise: $6.34Exp: 2034-05-17Common Stock (96,016 underlying)
Holdings
  • Common Stock

    175,426
Footnotes (7)
  • [F1]This total includes an additional 1,713 shares acquired recently through the Company's Employee Stock Purchase Plan
  • [F2]On May 17, 2024, 5,052 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 96,016 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.

Issuer

InfuSystem Holdings, Inc

CIK 0001337013

Entity typeother

Related Parties

1
  • filerCIK 0001790024

Filing Metadata

Form type
4
Filed
May 20, 8:00 PM ET
Accepted
May 21, 6:19 PM ET
Size
16.7 KB