SEC Form 4 · accession 0001127602-18-022025

INSULET CORP · PODD

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Officer — EVP & Chief Technology Officer

Period of report

Jun 28, 2018

Accepted (ET)

Jun 29, 2018 · 4:07 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 Stock^F1,F2	Jun 28, 2018	M	811	$31.20	A	28,251	D
Common Stock^F3,F1,F2	Jun 28, 2018	F	292	$86.51	D	27,959	D

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Employee Stock Option (Right to Buy)^F4	$31.20	Jun 28, 2018	M	811	D	—	Mar 28, 2026	Common Stock	811	31,882	D

F1Includes 4,674 restricted stock units granted on March 28, 2016, which vest on March 28, 2019; 4,006 performance share units granted on March 28, 2016, which vest on March 28, 2019; 2,885 restricted stock units granted on February 22, 2017, which vest one-half of the total units on February 22, 2019 and one-half of the total units on February 22, 2020; and 2,685 restricted stock units granted on February 14, 2018, which vest one-third of the total units on February 14, 2019, one-third of the total units on February 14, 2020 and one-third of the total units on February 14, 2021, subject to continued employment. Vested shares will be delivered to the reporting person as soon as practicable following a vesting date.
F2Includes 279 shares acquired under the Insulet Corporation 2007 Employee Stock Purchase Plan on May 31, 2018.
F3Constitutes previously owned shares to cover the exercise price of the option being exercised through a stock swap.
F4This 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.