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