Filing Details
- Accession Number:
- 0001014108-21-000121
- Form Type:
- 4
- Zero Holdings:
- No
- Publication Time:
- 2021-05-21 12:09:43
- Reporting Period:
- 2021-05-18
- Accepted Time:
- 2021-05-21 12:09:43
- 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 |
---|---|---|---|---|---|---|---|
1768484 | Mark Thomas Ruiz | 31700 Research Park Drive Madison Heights MI 48071 | Chief Commercial 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 | 2021-05-18 | 0 | $0.00 | 6,524 | No | 4 | P | Direct |
Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
---|---|---|---|---|
No | 4 | P | Direct |
Reported Derivative Transactions
Sec. Name | Sec. Type | Acquisiton - Disposition | Date | Amount | Price | Amount - 2 | Price - 2 |
---|---|---|---|---|---|---|---|
Common Stock | Stock Option (right to buy) | Acquisiton | 2021-05-18 | 9,134 | $0.00 | 9,134 | $19.50 |
Common Stock | Restricted Stock Units | Acquisiton | 2021-05-18 | 6,229 | $0.00 | 6,229 | $0.00 |
Common Stock | Restricted Stock Units | Acquisiton | 2021-05-18 | 2,821 | $0.00 | 2,821 | $0.00 |
Remaning Holdings | Exercise Date | Expiration Date | Equity Swap Involved | Transaction Form Type | Transaction Code | Nature of Ownership |
---|---|---|---|---|---|---|
9,134 | 2031-05-18 | No | 4 | A | Direct | |
6,229 | No | 4 | A | Direct | ||
2,821 | No | 4 | A | Direct |
Footnotes
- The option, representing the right to purchase a total of 9,134 shares of InfuSystem Holdings, Inc. common stock, vests in three equal annual installments beginning May 18, 2022.
- Restricted stock units convert into common stock on a one-for-one basis.
- These restricted stock units will cliff vest on May 18, 2024.
- These restricted stock units will cliff vest on May 18, 2022.