Carrie Lachance - 02 Sep 2022 Form 4 Insider Report for InfuSystem Holdings, Inc (INFU)

Role
President and COO, Director
Signature
/s/ Kevin Whitman, Attorney-in-Fact for Carrie Lachance
Issuer symbol
INFU
Transactions as of
02 Sep 2022
Net transactions value
-$24,689
Form type
4
Filing time
06 Sep 2022, 18:50:13 UTC
Previous filing
23 May 2022
Next filing
20 Mar 2023
SEC
View on sec.gov

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction INFU Common Stock Options Exercise $19,800 +10,000 +8.7% $1.98* 125,076 02 Sep 2022 Direct
transaction INFU Common Stock Tax liability $33,908 -4,364 -3.5% $7.77 120,712 02 Sep 2022 Direct F1
transaction INFU Common Stock Options Exercise $14,850 +7,500 +6.2% $1.98* 128,212 02 Sep 2022 Direct
transaction INFU Common Stock Tax liability $25,431 -3,273 -2.6% $7.77 124,939 02 Sep 2022 Direct F1

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
transaction INFU Stock Option (right to buy) Options Exercise $0 -10,000 -100% $0.000000* 0 02 Sep 2022 Common Stock 10,000 $1.98 Direct F2
transaction INFU Stock Option (right to buy) Options Exercise $0 -7,500 -100% $0.000000* 0 02 Sep 2022 Common Stock 7,500 $1.98 Direct F3
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Reflects the number of shares surrendered in connection with the cashless exercise and tax withholding obligations for the exercised option.
F2 The option, representing the right to purchase a total of 10,000 shares of InfuSystem Holdings, Inc. common stock, vests 50% per year on the anniversary starting September 7, 2018.
F3 The option, representing the right to purchase a total of 7,500 shares of InfuSystem Holdings, Inc. common stock, vests 33% per year on the anniversary starting September 7, 2018.