Filing Details

Accession Number:
0001628280-22-016889
Form Type:
4
Zero Holdings:
No
Publication Time:
2022-06-10 18:11:31
Reporting Period:
2022-06-07
Accepted Time:
2022-06-10 18:11:31
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 C/O Infusystem Holdings, Inc.
3851 West Hamlin Road
Rochester Hills MI 48309
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 2022-06-07 15,000 $1.98 47,893 No 4 M Direct
Common Stock Disposition 2022-06-07 15,000 $9.88 32,893 No 4 S Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
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 Stock Option (right to buy) Disposition 2022-06-07 15,000 $0.00 15,000 $1.98
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
10,000 2022-09-06 No 4 M Direct
Footnotes
  1. The price reported in Column 4 is a weighted average price. These shares reported herein were sold 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 sold at each separate price.
  2. Stock option vests 33% per year on anniversary date starting September 7, 2018