Filing Details

Accession Number:
0001127602-12-013013
Form Type:
4
Zero Holdings:
No
Publication Time:
2012-04-03 13:00:00
Reporting Period:
2012-04-01
Filing Date:
2012-04-03
Accepted Time:
2012-04-03 17:47:43
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1145197 Insulet Corp PODD Surgical & Medical Instruments & Apparatus (3841) 043523891
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1259094 K Brian Roberts C/O Insulet Corporation
9 Oak Park Drive
Bedford MA 01730
Chief Financial Officer No Yes No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2012-04-01 25,000 $0.00 77,995 No 4 A Direct
Common Stock Acquisiton 2012-04-02 30,000 $5.11 107,995 No 4 M Direct
Common Stock Disposition 2012-04-02 30,000 $19.31 77,995 No 4 S Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 A Direct
No 4 M Direct
No 4 S Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Employee Stock Option (Right to Buy) Acquisiton 2012-04-01 25,000 $0.00 25,000 $19.14
Common Stock Employee Stock Option (Right to Buy) Disposition 2012-04-02 30,000 $0.00 30,000 $5.11
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
25,000 2022-04-01 No 4 A Direct
150,000 2019-03-05 No 4 M Direct
Footnotes
  1. This option is subject to a four-year vesting period, with 25% of the total award vesting one year after the grant date and the remainder vesting in equal quarterly installments each quarter thereafter for 12 quarters, subject to continued employment.
  2. The 25,000 restricted stock units vest one-quarter of the total units on the first anniversary date of the grant and one-quarter each on the second, third and fourth anniversaries of the date of the grant. Vested shares will be delivered to the reporting person as soon as practicable following a vesting date.
  3. Includes 8,000 restricted stock units granted on March 1, 2010 which vest on March 1, 2013; 16,000 restricted stock units granted on March 1, 2011 which vest one-half of the total units on March 1, 2013 and one-half the total units on March 1, 2014; and 7,500 restricted stock units granted on March 1, 2011 which vest one-half of the total units on December 31, 2012 and one-half of the total units on December 31, 2013. Vested shares will be delivered to the reporting person as soon as practicable following a vesting date.
  4. The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on December 16, 2011.
  5. The price reported represents the weighed average sale price of the shares sold. The shares were sold at varying prices in the range of $19.07 to $19.64. The Reporting Person hereby undertakes, upon request of the Staff of the U.S. Securities Exchange Commission, the Issuer or a security holder of the Issuer, to provide full informaiton regarding the number of shares sold at each separate price.