SEC Form 4 · accession 0001445866-17-001281

InfuSystem Holdings, Inc · INFU

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owners

Director · 10% Owner

Director · 10% Owner

Director · 10% Owner

Director · 10% Owner

Director · 10% Owner

Period of report

Aug 28, 2017

Accepted (ET)

Aug 30, 2017 · 5:36 pm 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
Common Stock^F1	Aug 28, 2017	P	30,000	$1.90	A	2,781,670	D
Common Stock^F2	Aug 30, 2017	P	300	$1.85	A	2,781,970	D
Common Stock^F2	Aug 30, 2017	P	600	$1.90	A	2,782,570	D

No Table II lines on this filing.

F1These securities are owned by Meridian OHC Partners, LP.
F2These securities are owned by BlueLine Capital Partners II, LP. As described in the Schedule 13D filing made on February 12, 2016 with respect to the Common Stock owned by Meridian OHC Partners, LP, Meridian TSV II, LP, TSV Investment Partners, LLC, BlueLine Capital Partners II, L.P. and BlueLine Partners, L.L.C., the Reporting Entities may have been deemed to be a "group" under Section 13(d) of the Securities Exchange Act and accordingly each Reporting Person may have been deemed to have beneficial ownership of 10% or more of the Common Stock. The price reported in Column 4 is a weighted average price. These shares reported herein were purchased in multiple transactions. The reporting persons undertake to provide to InfuSystem Holdings, Inc., any security holder of InfuSystem Holdings, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares purchased at each separate price.