SEC Form 4 · accession 0001127602-15-005545
INSULET CORP · PODD
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Shacey Petrovic
Officer — CCO
Period of report
Feb 9, 2015
Accepted (ET)
Feb 11, 2015 · 5:51 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001145197
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Feb 9, 2015 | A | 56,965 | $0.00 | A | 56,965 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option (Right to Buy)F2 | $30.58 | Feb 9, 2015 | A | 79,936 | A | — | Feb 9, 2025 | Common Stock | 79,936 | 79,936 | D |
Explanation of responses
- F1The 56,965 restricted stock units vest one-third of the total units on February 9, 2016, one-third of the total units on February 9, 2017 and one-third of the total units on February 9, 2018, subject to continued employment. Vested shares will be delivered to the reporting person as soon as practicable following a vesting date.
- F2This option is subject to a four-year vesting period, with 25% of the total award vesting one year after the grant date and the remainder vesting in equal quarterly installments each quarter thereafter for 12 quarters, subject to continued employment.