SEC Form 4 · accession 0001140361-15-011795
InfuSystem Holdings, Inc · INFU
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Sean William Schembri
Officer — EVP, Gen. Counsel & Corp. Sec.
Period of report
Mar 11, 2015
Accepted (ET)
Mar 13, 2015 · 7:01 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 | $2.60 | Mar 11, 2015 | A | 40,000 | A | — | Mar 11, 2025 | Common Stock | 40,000 | 40,000 | D |
Explanation of responses
- F1The option, representing the right to purchase a total of 40,000 shares of InfuSystem Holdings, Inc. common stock, vests in forty eight equal monthly installments beginning April 11, 2015.