Scott Shuda - 14 May 2024 Form 4 Insider Report for InfuSystem Holdings, Inc (INFU)

Role
Director
Signature
/s/ Kevin R. Whitman, Attorney-in-Fact for Scott Shuda
Issuer symbol
INFU
Transactions as of
14 May 2024
Transactions value $
$0
Form type
4
Filing time
16 May 2024, 19:23:04 UTC
Previous filing
15 Jun 2023
Next filing
21 May 2024

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction INFU Common Stock Options Exercise $164,500 +35,000 +38.68% $4.7 125,494 14 May 2024 Direct
transaction INFU Common Stock Tax liability -$164,500 -23,500 -18.73% $7 101,994 14 May 2024 Direct F2
holding INFU Common Stock 340,624 14 May 2024 Footnote 1 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 -35,000 -100% $0* 0 14 May 2024 Common Stock 35,000 $4.7 Direct F3
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Mr. Shuda serves as Managing Director of (i) TSV Investment Partners, LLC, which is the sole general partner of Meridian OHC Partners, LP ("Meridian") and (ii) BlueLine Partners, LLC, which is the sole general partner of BlueLine Capital Partners II, LP ("BlueLine"). Accordingly, Mr. Shuda holds voting and dispositive power over the Common Stock held by Meridian and BlueLine. Mr. Shuda disclaims beneficial ownership for purposes of Rule 13d-3 with respect to the Common Stock held by Meridian and BlueLine.
F2 Reflects the number of shares surrendered in connection with the cashless exercise for the exercised option.
F3 The option, representing the right to purchase a total of 35,000 shares of InfuSystem Holdings, Inc. common stock, vested in twelve equal monthly installments beginning on June 15, 2019.