SEC Form 4 · accession 0001140361-15-011808
InfuSystem Holdings, Inc · INFU
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Janet Skonieczny
Officer — Chief Operating Officer
Period of report
Mar 11, 2015
Accepted (ET)
Mar 16, 2015 · 6:12 am EDT
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 | Mar 11, 2015 | A | 6,666 | $0.00 | A | 133,739 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1The reporting person was awarded restricted stock units, each representing a contingent right to receive one share of InfuSystem Holdings, Inc. common stock. The restricted stock units vest in four equal annual installments beginning March 11, 2016. Settlement of the underlying shares of common stock will occur on each vesting date.
Remarks
Exhibit 24.0 - Limited Power of Attorney for Janet Skonieczny