SEC Form 4 · accession 0001140361-15-020299
InfuSystem Holdings, Inc · INFU
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Wayne P. Yetter
Director
Period of report
May 13, 2015
Accepted (ET)
May 15, 2015 · 4:10 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 | $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, became exercisable in twelve equal monthly installments beginning June 13, 2015 and immediately upon a change in control.