SEC Form 4 · accession 0001014108-17-000196
InfuSystem Holdings, Inc · INFU
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Christopher R. Sansone
Director
Period of report
Nov 22, 2017
Accepted (ET)
Nov 27, 2017 · 5:50 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001337013
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Nov 22, 2017 | P | 3,998 | $2.155 | A | 1,275,404 | D | |
| Common StockF2 | Nov 22, 2017 | P | 1,000 | $2.155 | A | 267,486 | D | |
| Common StockF3 | holding | — | — | — | 1,483,548 | I | See | |
| Common StockF3 | holding | — | — | — | 1,483,548 | I | See | |
| Common StockF3 | holding | — | — | — | 1,483,548 | I | See |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1The reported securities are directly owned by Sansone Partners, L.P., a Delaware limited partnership.
- F2The reported securities are directly owned by Sansone Partners (QP), L.P., a Delaware limited partnership.
- F3The reported securities are directly owned by (i) Sansone Partners, L.P., a Delaware limited partnership (the "3c1 Partnership"), and (ii) Sansone Partners (QP), L.P., a Delaware limited partnership (the "3c7 Partnership", and together with the 3c1 Partnership, the "Partnerships"), and may be deemed to be indirectly beneficially owned by Sansone Advisors, LLC, a Delaware limited liability company, as the investment manager of Partnerships (the "Investment Manager"), and by Sansone Capital Management, LLC, a Delaware limited liability company, as general partner of the Partnerships (the "General Partner"). The reported securities may also be deemed to be indirectly beneficially owned by Christopher Sansone as the managing member of the Investment Manager and the General Partner. The Reporting Persons disclaim beneficial ownership of the reported securities except to the extent of his or its pecuniary interest therein.