Jerod Funke - 09 Oct 2023 Form 3 Insider Report for InfuSystem Holdings, Inc (INFU)

Role
EVP-Chief HR Officer
Signature
/s/ Kevin Whitman, Attorney-in-Fact for Jerod Funke
Issuer symbol
INFU
Transactions as of
09 Oct 2023
Net transactions value
$0
Form type
3
Filing time
19 Oct 2023, 17:51:51 UTC
Next filing
21 May 2024
SEC
View on sec.gov

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
holding INFU Stock Options (right to buy) 09 Oct 2023 Common Stock 46,679 $9.78 Direct F1
holding INFU Restricted Stock Units 09 Oct 2023 Common Stock 25,000 Direct F2, F3
holding INFU Restricted Stock Units 09 Oct 2023 Common Stock 7,157 Direct F3, F4
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 The option, representing the right to purchase a total of 46,679 shares of InfuSystem Holdings, Inc. common stock, vests in three equal annual installments beginning October 9, 2024.
F2 These restricted stock units vest in two equal annual installments beginning on October 9, 2024.
F3 Restricted stock units convert into common stock on a one-for-one basis.
F4 These restricted stock units will fully vest on October 9, 2026.