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
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
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
  1. 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.
  2. Reflects the number of shares surrendered in connection with the cashless exercise of the option and tax withholding obligations for the exercised option.
  3. 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.
  4. 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.
  5. 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.