SEC Form 4 · accession 0001127602-15-009735
INSULET CORP · PODD
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Charles T Liamos
Director
Period of report
Mar 1, 2015
Accepted (ET)
Mar 3, 2015 · 5:57 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,F2,F3 | Mar 1, 2015 | F | 6,951 | $31.73 | D | 93,782 | D | |
| Common StockF2,F3 | Mar 2, 2015 | M | 4,000 | $15.82 | A | 97,782 | D | |
| Common StockF5,F2,F3 | Mar 2, 2015 | S | 4,000 | $32.003 | D | 93,782 | 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)F6 | $15.82 | Mar 2, 2015 | M | 4,000 | D | — | Jan 10, 2021 | Common Stock | 4,000 | 22,000 | D |
Explanation of responses
- F1This transaction represents the withholding of shares received upon the vesting of restricted stock units and performance share units to cover the associated tax obligations.
- F2Includes 16,000 restricted stock units granted on April 1, 2012, which vest one-half of the total units on April 1, 2015 and one-half of the total units on April 1, 2016; 15,000 restricted stock units granted on March 1, 2013, which vest one-half of the total units on March 1, 2016 and one-half of the total units on March 1, 2017; 11,000 performance share units granted on March 1, 2013, which vest on March 1, 2016; and 4,000 restricted stock units granted on June 2, 2014, which vest one-half of the total units on April 30, 2015, one-quarter of the total units on April 30, 2016 and one-quarter of the total units on April 30, 2017. Vested shares will be delivered to the reporting person as soon as practicable following a vesting date.
- F3Includes an aggregate of 1,166 shares acquired under the Insulet Corporation Amended and Restated 2007 Employee Stock Purchase Plan on the following dates: 357 shares acquired on June 29, 2012; 360 shares acquired on December 31, 2012; 243 shares acquired on June 28, 2013; and 206 shares acquired on December 31, 2013.
- F4The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on June 12, 2014.
- F5The price reported represents the weighted average sale price of the shares sold. The shares were sold at varying prices in the range of $32.000 to $32.010. The Reporting Person hereby undertakes, upon request of the Staff of the U.S. Securities Exchange Commission, the Issuer or a security holder of the Issuer, to provide full informaiton regarding the number of shares sold at each separate price.
- F6This 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.