SEC Form 4 · accession 0001127602-15-010190
INSULET CORP · PODD
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
R Anthony Diehl
Officer — Secretary and General Counsel
Period of report
Mar 2, 2015
Accepted (ET)
Mar 4, 2015 · 7:04 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 2, 2015 | A | 10,253 | $0.00 | A | 55,705 | D | |
| Common StockF4,F3,F5 | Mar 3, 2015 | F | 868 | $31.37 | D | 54,837 | 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 | $32.51 | Mar 2, 2015 | A | 14,607 | A | — | Mar 2, 2025 | Common Stock | 14,607 | 14,607 | D |
Explanation of responses
- F1The 10,253 restricted stock units vest one-third of the total units on March 2, 2016, one-third of the total units on March 2, 2017 and one-third of the total units on March 2, 2018, subject to continued employment. Vested shares will be delivered to the reporting person as soon as practicable following a vesting date.
- F2Includes 10,000 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; 6,250 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; 4,000 performance share units granted on March 1, 2013, which vest on March 1, 2016; and 8,000 restricted stock units granted on March 3, 2014 which vest one-third of the total units on March 3, 2015, one-third of the total units on March 3, 2016, and one-third of the total units on March 3, 2017. Vested shares will be delivered to the reporting person as soon as practicable following a vesting date.
- F3Includes an aggregate of 1,249 shares acquired under the Insulet Corporation 2007 Employee Stock Purchase Plan on the following dates: 400 shares acquired on December 31, 2007; and 849 shares acquired on June 30, 2008.
- F4This transaction represents the withholding of shares received upon the vesting of restricted stock units to cover the associated tax obligations.
- F5Includes 10,000 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; 6,250 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; 4,000 performance share units granted on March 1, 2013, which vest on March 1, 2016; 5,334 restricted stock units granted on March 3, 2014 which vest one-half of the total units on March 3, 2016, and one-half of the total units on March 3, 2017; and 10,253 restricted stock units granted on March 2, 2015, which vest one-third of the total units on March 2, 2016, one-third of the total units on March 2, 2017 and one-third of the total units on March 2, 2018. Vested shares will be delivered to the reporting person as soon as practicable following a vesting date.
- 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.