SEC Form 4 · accession 0001127602-17-018714
INSULET CORP · PODD
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
David A Lemoine
Director
Period of report
May 17, 2017
Accepted (ET)
May 18, 2017 · 6:37 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,F2 | May 17, 2017 | A | 2,709 | $0.00 | A | 10,123 | 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) | $40.60 | May 17, 2017 | A | 3,587 | A | Apr 30, 2018 | May 17, 2027 | Common Stock | 3,587 | 3,587 | D |
Explanation of responses
- F1The 2,709 restricted stock units vest on April 30, 2018, 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.
- F2Includes 3,205 restricted stock units granted on February 9, 2016, which vest one-half of the total units on February 9, 2018 and one-half of the total units on February 9, 2019, 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.