Filing Details
- Accession Number:
- 0001628280-24-024598
- Form Type:
- 4
- Zero Holdings:
- No
- Publication Time:
- 2024-05-21 18:17:19
- Reporting Period:
- 2024-05-17
- Accepted Time:
- 2024-05-21 18:17:19
- 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 |
---|---|---|---|---|---|---|---|
1998115 | Jerod Funke | C/O Infusystem Holdings, Inc. 3851 West Hamlin Road Rochester Hills MI 48309 | Evp-Chief Hr 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 | 2024-05-20 | 1,000 | $6.39 | 1,000 | 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 | Restricted Stock Units | Acquisiton | 2024-05-17 | 14,146 | $0.00 | 14,146 | $0.00 |
Common Stock | Stock Option (right to buy) | Acquisiton | 2024-05-17 | 64,010 | $0.00 | 64,010 | $6.34 |
Remaning Holdings | Exercise Date | Expiration Date | Equity Swap Involved | Transaction Form Type | Transaction Code | Nature of Ownership |
---|---|---|---|---|---|---|
14,146 | 2027-05-17 | 2027-05-17 | No | 4 | A | Direct |
64,010 | 2034-05-17 | No | 4 | A | Direct |
Footnotes
- The price reported in Column 4 is a weighted average price. These shares reported herein were purchased in multiple transactions. The reporting person undertakes to provide to the Issuer, and security holder of the Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares purchased at each separate price.
- Restricted stock units convert into common stock on a one-for-one basis.
- The option, representing the right to purchase a total of 64,010 shares of InfuSystem Holdings, Inc. common stock, vests in four equal annual installments beginning May 17, 2025.