-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, NBnRdcFp0Qm+hDToSF1AYTbS6LCdwol99lmNibMvI8uO/HXBztPYxelRIPLgz0g0 ETDsM216MprD75iCKf/8pg== 0001104659-10-013794.txt : 20100311 0001104659-10-013794.hdr.sgml : 20100311 20100311183602 ACCESSION NUMBER: 0001104659-10-013794 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20100309 FILED AS OF DATE: 20100311 DATE AS OF CHANGE: 20100311 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: INSULET CORP CENTRAL INDEX KEY: 0001145197 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 043523891 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 9 OAK PARK DRIVE CITY: BEDFORD STATE: MA ZIP: 01730 BUSINESS PHONE: (781) 457-5000 MAIL ADDRESS: STREET 1: 9 OAK PARK DRIVE CITY: BEDFORD STATE: MA ZIP: 01730 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JAFFE ROSS A MD CENTRAL INDEX KEY: 0001181338 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33462 FILM NUMBER: 10675381 MAIL ADDRESS: STREET 1: 3000 SAND HILL ROAD, #4-210 CITY: MENLO PARK STATE: CA ZIP: 94025 4 1 a4.xml 4 X0303 4 2010-03-09 0 0001145197 INSULET CORP PODD 0001181338 JAFFE ROSS A MD C/O VERSANT VENTURES 3000 SAND HILL ROAD, #4-210 MENLO PARK CA 94025 1 0 0 0 Common Stock 2010-03-09 4 S 0 92000 15.89 D 1865713 I Versant Venture Capital I, L.P. Common Stock 2010-03-09 4 S 0 1800 15.89 D 36501 I Versant Side Fund I, L.P. Common Stock 2010-03-09 4 S 0 2000 15.89 D 40557 I Versant Affiliates Fund I-A, L.P. Common Stock 2010-03-09 4 S 0 4200 15.89 D 85172 I Versant Affiliates Fund I-B, L.P. Common Stock 2010-03-10 4 S 0 52440 16.15 D 1813273 I Versant Venture Capital I, L.P. Common Stock 2010-03-10 4 S 0 1026 16.15 D 35475 I Versant Side Fund I, L.P. Common Stock 2010-03-10 4 S 0 1140 16.15 D 39417 I Versant Affiliates Fund I-A, L.P. Common Stock 2010-03-10 4 S 0 2394 16.15 D 82778 I Versant Affiliates Fund I-B, L.P. The Reporting Person is a managing member of Versant Ventures I, LLC ("VVI-LLC"), which is the general partner of each of Versant Side Fund I, L.P., Versant Venture Capital I, L.P., Versant Affiliates Fund I-A, L.P., and Versant Affiliates Fund I-B, L.P. (collectively, the "Versant Funds". As such, the Reporting Person shares voting and investment power over the shares held by the Versant Funds and may be deemed to have indirect beneficial ownership of such shares. The Reporting Person disclaims beneficial ownership of such shares held by the Versant Funds, except to the extent of his proportionate pecuniary interest therein, if any. Price reflected is the weighted-average sale price for shares sold. The range of sale prices for the transactions reported was $15.60 to $16.01 per share. The Reporting Person undertakes to provide, upon request by the SEC staff, the issuer, or a security holder of the issuer, full information regarding the number of shares sold at each separate price. Price reflected is the weighted-average sale price for shares sold. The range of sale prices for the transactions reported was $15.75 to $16.33 per share. The Reporting Person undertakes to provide, upon request by the SEC staff, the issuer, or a security holder of the issuer, full information regarding the number of shares sold at each separate price. /s/ Robin L. Praeger as attorney in fact 2010-03-11 -----END PRIVACY-ENHANCED MESSAGE-----