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Filing Details

Accession Number:: 0001140361-14-013368
Form Type:: 4
Zero Holdings:: No
Publication Time:: 2014-03-18 17:33:03
Reporting Period:: 2014-03-14

Filing Date:: 2014-03-18
Accepted Time:: 2014-03-18 17:33:03
SEC Url:: Form 4 Filing

Issuer

Cik	Name	Symbol	Sector (SIC)	IRS No
1337013	Infusystem Holdings Inc	INFU	Surgical & Medical Instruments & Apparatus (3841)	203341405

Insiders

Cik	Name	Reported Address	Insider Title	Director	Officer	Large Shareholder	Other
1535780	J. Ryan Morris	C/O Infusystem Holdings, Inc. 31700 Research Park Drive Madison Heights MI 48071	Executive Chairman	Yes	Yes	No	No

Reported Non-Derivative Transactions

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Sec. Name	Acquisiton - Disposition	Date	Amount	Price	Remaning Holdings	Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
Common Stock	Acquisiton	2014-03-14	150,000	$2.25	195,202	No	4	M	Direct
Common Stock	Disposition	2014-03-14	130,647	$2.84	64,555	No	4	F	Direct
Common Stock	Disposition	2014-03-17	24,600	$2.90	1,487,850	No	4	S	Indirect	See footnote

Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
No	4	M	Direct
No	4	F	Direct
No	4	S	Indirect	See footnote

Reported Derivative Transactions

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Sec. Name	Sec. Type	Acquisiton - Disposition	Date	Amount	Price	Amount - 2	Price - 2
Common Stock	Stock option (right to buy)	Acquisiton	2014-03-14	150,000	$0.00	150,000	$2.25

Remaning Holdings	Exercise Date	Expiration Date	Equity Swap Involved	Transaction Form Type	Transaction Code	Nature of Ownership
0		2014-04-24	No	4	M	Direct

Footnotes

As an entity managed by Mr. Morris, Meson Capital Partners LLC ("Meson LLC") may be deemed to have the shared power to vote or direct the vote of (and the shared power to dispose or direct the disposition of) the shares held by Mr. Morris. Meson LLC disclaims beneficial ownership of such shares.
Reflects the number of shares surrendered in connection with the cashless exercise of the option and tax withholding obligations for the exercised option.
Shares beneficially owned by Meson Capital Partners LP ("Meson LP"). As the general partner of Meson LP, Meson LLC may be deemed to have the shared power to vote or direct the vote of (and the shared power to dispose or direct the disposition of) the Meson LP shares. Meson LLC does not own any shares of Common Stock directly and disclaims beneficial ownership of the Meson LP shares. As managing member of Meson LLC, Mr. Morris may be deemed to have the shared power to vote or direct the vote of (and the shared power to dispose or direct the disposition of) any shares of Common Stock beneficially owned by Meson LLC. Mr. Morris disclaims beneficial ownership of any shares of Common Stock beneficially owned by Meson LLC.
The option, representing the right to purchase a total of 250,000 shares, became exercisable in twelve equal monthly installments following the April 24, 2012 date of grant.
As an entity which is managed by Mr. Morris, Meson LLC may be deemed to have the shared power to dispose or direct the disposition of stock options owned by Mr. Morris. Meson LLC disclaims beneficial ownership of such stock options.