SEC Form 4 · accession 0001014108-18-000119
InfuSystem Holdings, Inc · INFU
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Gregory Schulte
Officer — Chief Financial Officer
Period of report
May 7, 2018
Accepted (ET)
May 9, 2018 · 5:56 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001337013
Table I — non-derivative securities
No Table I lines on this filing.
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)F1 | $2.55 | May 7, 2018 | A | 125,000 | A | — | May 7, 2023 | Common Stock | 125,000 | 125,000 | D |
Explanation of responses
- F1The option, representing the right to purchase a total of 125,000 shares of InfuSystem Holdings, Inc. common stock, will vest over a four-year period, with 1/48th vesting on each monthly anniversary of the grant date, provided Mr. Schulte remains employed by the Company through such vesting dates.