0001127602-14-004596.txt : 20140205
0001127602-14-004596.hdr.sgml : 20140205
20140205170541
ACCESSION NUMBER: 0001127602-14-004596
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20140203
FILED AS OF DATE: 20140205
DATE AS OF CHANGE: 20140205
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: Ryan Patrick
CENTRAL INDEX KEY: 0001519007
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33462
FILM NUMBER: 14576868
MAIL ADDRESS:
STREET 1: C/O ALPHATEC HOLDINGS, INC.
STREET 2: 5818 EL CAMINO REAL
CITY: CARLSBAD
STATE: CA
ZIP: 92008
4
1
form4.xml
PRIMARY DOCUMENT
X0306
4
2014-02-03
0001145197
INSULET CORP
PODD
0001519007
Ryan Patrick
C/O INSULET CORPORATION
9 OAK PARK DRIVE
BEDFORD
MA
01730
1
Chief Operating Officer
Common Stock
2014-02-03
4
A
0
35000
0
A
35000
D
Employee Stock Option (Right to Buy)
42.16
2014-02-03
4
A
0
30000
42.16
A
2024-02-03
Common Stock
30000
30000
D
The 35,000 restricted stock units vest one-quarter of the total units on February 3, 2015, one-quarter of the total units on February 3, 2016, one-quarter of the total units on February 3, 2017 and one-quarter of the total units on February 3, 2018. Vested shares will be delivered to the reporting person as soon as practicable following a vesting date.
This option is subject to a four-year vesting period, with 25% of the total award vesting one year after the grant date and the remainder vesting in equal quarterly installments each quarter thereafter for 12 quarters, subject to continued employment.
/s/ R. Anthony Diehl, attorney in fact
2014-02-05