| Name | Relationship | Address | Signature | Signature date | CIK |
|---|---|---|---|---|---|
| Funke Jerod | EVP-Chief HR Officer | C/O INFUSYSTEM HOLDINGS, INC., 3851 WEST HAMLIN ROAD, ROCHESTER HILLS | /s/ Kevin Whitman, Attorney-in-Fact for Jerod Funke | 20 May 2025 | 0001998115 |
| Type | Sym | Class | Transaction | Value $ | Shares | Change % | * Price $ | Shares After | Date | Ownership | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|
| holding | INFU | Common Stock | 9,831 | 16 May 2025 | Direct |
| Type | Sym | Class | Transaction | Value $ | Shares | Change % | * Price $ | Shares After | Date | Underlying Class | Amount | Exercise Price | Ownership | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| transaction | INFU | Restricted Stock Units | Award | $0 | +15,546 | $0.000000 | 15,546 | 16 May 2025 | Common Stock | 15,546 | Direct | F1, F2 | ||
| transaction | INFU | Stock Option (right to buy) | Award | $0 | +36,926 | $0.000000 | 36,926 | 16 May 2025 | Common Stock | 36,926 | $6.00 | Direct | F3 |
| Id | Content |
|---|---|
| F1 | Restricted stock units convert into common stock on a one-for-one basis. |
| F2 | These restricted stock units vest in three equal annual installments beginning on May 16, 2026. |
| F3 | The option, representing the right to purchase a total of 36,926 shares of InfuSystem Holdings, Inc. common stock, vests in four equal annual installments beginning May 16, 2026. |