SEC Form 4 · accession 0001127602-18-035731
INSULET CORP · PODD
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Shacey Petrovic
Officer — President and COO
Period of report
Dec 6, 2018
Accepted (ET)
Dec 10, 2018 · 5:48 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 | Dec 6, 2018 | M | 6,834 | $29.26 | A | 93,033 | D | |
| Common StockF2 | Dec 6, 2018 | F | 2,427 | $82.38 | D | 90,606 | 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)F3 | $29.26 | Dec 6, 2018 | M | 6,834 | D | — | Feb 24, 2026 | Common Stock | 6,834 | 51,468 | D |
Explanation of responses
- F1Includes 9,015 restricted stock units granted on February 22, 2017, which vest as to one-half of the total units on February 22, 2019 and one-half of the total units on February 22, 2020; 7,120 restricted stock units granted on February 24, 2016, which vest on February 24, 2019; 8,544 performance share units granted on February 24, 2016, which vest on February 24, 2019; and 6,711 restricted stock units granted on February 14, 2018, which vest as to 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.
- F2Constitutes previously owned shares to cover the exercise price of the option being exercised through a stock swap.
- F3This 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.