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
  1. 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.
  2. Restricted stock units convert into common stock on a one-for-one basis.
  3. 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.