SEC Form 4 · accession 0001127602-16-047851
INSULET CORP · PODD
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Aiman Abdel-Malek
Officer — SVP, Advanced Technology
Period of report
Mar 28, 2016
Accepted (ET)
Mar 30, 2016 · 5:24 pm EDT
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 | Mar 28, 2016 | A | 14,022 | $0.00 | A | 14,022 | 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 | $31.20 | Mar 28, 2016 | A | 38,292 | A | — | Mar 28, 2026 | Common Stock | 38,292 | 38,292 | D |
Explanation of responses
- F1The 14,022 restricted stock units vest one-third of the total units on March 28, 2017, one-third of the total units on March 28, 2018 and one-third of the total units on March 28, 2019, 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.