0001127602-15-013943.txt : 20150403
0001127602-15-013943.hdr.sgml : 20150403
20150403162450
ACCESSION NUMBER: 0001127602-15-013943
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150401
FILED AS OF DATE: 20150403
DATE AS OF CHANGE: 20150403
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: 600 TECHNOLOGY PARK
STREET 2: SUITE 200
CITY: BILLERICA
STATE: MA
ZIP: 01821
BUSINESS PHONE: 978-600-7000
MAIL ADDRESS:
STREET 1: 600 TECHNOLOGY PARK
STREET 2: SUITE 200
CITY: BILLERICA
STATE: MA
ZIP: 01821
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Dorval Allison
CENTRAL INDEX KEY: 0001625110
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33462
FILM NUMBER: 15751518
MAIL ADDRESS:
STREET 1: C/O INSULET CORPORATION
STREET 2: 600 TECHNOLOGY PARK DRIVE, SUITE 200
CITY: BILLERICA
STATE: MA
ZIP: 01821
4
1
form4.xml
PRIMARY DOCUMENT
X0306
4
2015-04-01
0001145197
INSULET CORP
PODD
0001625110
Dorval Allison
C/O INSULET CORPORATION
600 TECHNOLOGY PARK DRIVE, SUITE 200
BILLERICA
MA
01821
1
Chief Financial Officer
Common Stock
2015-04-01
4
F
0
814
31.85
D
37415
D
This transaction represents the withholding of shares received upon the vesting of restricted stock units to cover the associated tax obligations.
Includes 2,500 restricted stock units granted on April 1, 2012, which vest on April 1, 2016; 6,000 restricted stock units granted on March 1, 2013, which vest one-half of the total units on March 1, 2016 and one-half of the total units on March 1, 2017; 5,334 restricted stock units granted on March 3, 2014, which vest one-half of the total units on March 3, 2016 and one-half of the total units on March 3, 2017; and 10,253 restricted stock units granted on March 2, 2015, which vest one-third of the total units on March 2, 2016, one-third of the total units on March 2, 2017 and one-third of the total units on March 2, 2018, subject to continued employment. Vested shares will be delivered to the reporting person as soon as practicable following a vesting date.
Includes an aggregate of 342 shares acquired under the Insulet Corporation 2007 Employee Stock Purchase Plan on December 31, 2013.
/s/ R. Anthony Diehl, attorney in fact
2015-04-03