SEC Form 4 · accession 0001445866-18-000596
InfuSystem Holdings, Inc · INFU
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owners
BlueLine Partners, L.L.C.
10% Owner
BlueLine Capital Partners II, L.P.
10% Owner
Meridian OHC Partners, LP
10% Owner
Meridian TSV II, LP
10% Owner
TSV Investment Partners, LLC
10% Owner
Period of report
May 17, 2018
Accepted (ET)
May 22, 2018 · 6:05 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 | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F3 | May 17, 2018 | P | 5,000 | $2.90 | A | 3,177,867 | D | |
| Common StockF1 | May 18, 2018 | P | 944 | $2.85 | A | 3,178,811 | D | |
| Common StockF2 | May 18, 2018 | P | 841 | $2.85 | A | 3,179,652 | D | |
| Common StockF1 | May 22, 2018 | P | 5,000 | $3.00 | A | 3,184,652 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1These securities are owned by BlueLine Capital Partners II, LP. 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. 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.
- F2These securities are owned by Meridian TSV II, LP.
- F3The amount of securities beneficially owned by the Reporting Persons was incorrectly stated on the Form 4 filed on May 24, 2017 and was reflected in all subsequent reports but is being corrected with this Form 4 filing.