SEC Form 4 · accession 0001140361-15-020295
InfuSystem Holdings, Inc · INFU
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Ryan J. Morris
Director
Period of report
May 13, 2015
Accepted (ET)
May 15, 2015 · 4:09 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)F2,F1 | $3.42 | May 13, 2015 | A | 25,000 | A | — | May 13, 2020 | Common Stock | 25,000 | 25,000 | D |
Explanation of responses
- F1The option, representing the right to purchase a total of 25,000 shares, vests in twelve equal monthly installments beginning June 13, 2015 and immediately upon a change in control.
- F2As an entity which is managed by Mr. Morris, Meson LLC may be deemed to have the shared power to dispose or direct the disposition of stock options owned by Mr. Morris. Meson LLC disclaims beneficial ownership of such stock options.