SEC Form 4 · accession 0001127602-17-011631
INSULET CORP · PODD
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Regina O Sommer
Director
Period of report
Mar 13, 2017
Accepted (ET)
Mar 14, 2017 · 4:45 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 13, 2017 | M | 4,000 | $17.75 | A | 24,330 | D | |
| Common StockF1 | Mar 13, 2017 | M | 4,000 | $20.90 | A | 28,330 | D | |
| Common StockF1 | Mar 13, 2017 | M | 4,000 | $14.48 | A | 32,330 | D | |
| Common StockF1 | Mar 13, 2017 | M | 18,480 | $7.06 | A | 50,810 | D | |
| Common StockF1 | Mar 13, 2017 | M | 9,520 | $18.75 | A | 60,330 | D | |
| Common StockF2,F1 | Mar 13, 2017 | S | 40,000 | $45.0033 | D | 20,330 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (Right to Buy)F3 | $17.75 | Mar 13, 2017 | M | 4,000 | D | — | Jun 1, 2022 | Common Stock | 4,000 | 0 | D |
| Stock Option (Right to Buy)F4 | $20.90 | Mar 13, 2017 | M | 4,000 | D | — | May 12, 2021 | Common Stock | 4,000 | 0 | D |
| Stock Option (Right to Buy)F5 | $14.48 | Mar 13, 2017 | M | 4,000 | D | — | Jun 1, 2020 | Common Stock | 4,000 | 0 | D |
| Stock Option (Right to Buy)F5 | $7.06 | Mar 13, 2017 | M | 18,480 | D | — | Jul 30, 2019 | Common Stock | 18,480 | 0 | D |
| Stock Option (Right to Buy)F5 | $18.75 | Mar 13, 2017 | M | 9,520 | D | — | May 8, 2018 | Common Stock | 9,520 | 0 | D |
Explanation of responses
- F1Includes 1,000 restricted stock units granted on June 2, 2014, which vest on April 30, 2017; 2,020 restricted stock units granted on May 13, 2015, which vest 50% of the total units on April 30, 2017 and 50% of the total units on April 30, 2018; and 3,810 restricted stock units granted on May 11, 2016, which vest on April 30, 2017, subject to continued service as a director or consultant. Vested shares will be delivered to the reporting person as soon as practicable following a vesting date.
- F2The price reported represents the weighted average sale price of the shares sold. The shares were sold at varying prices in the range of $44.91 to $45.175. 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.
- F3This option is subject to a three-year vesting period with 50% of the total award vesting on April 30, 2013, 25% of the total award vesting on April 30, 2014 and 25% of the total award vesting on April 30, 2015, subject to continued service as a director or consultant.
- F4This option is subject to a three-year vesting period with 50% of the total award vesting on April 30, 2012, 25% of the total award vesting on April 30, 2013 and 25% of the total award vesting on April 30, 2014, subject to continued service as a director or consultant.
- F5This option is subject to a three-year vesting period with 50% of the total award vesting on the first anniversary of the date of grant and 25% on each of the second and third anniversaries of the date of grant, subject to continued service as a director or consultant.