0001127602-15-016144.txt : 20150504
0001127602-15-016144.hdr.sgml : 20150504
20150504184124
ACCESSION NUMBER: 0001127602-15-016144
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150504
FILED AS OF DATE: 20150504
DATE AS OF CHANGE: 20150504
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: Levitz Michael L
CENTRAL INDEX KEY: 0001468019
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33462
FILM NUMBER: 15829891
MAIL ADDRESS:
STREET 1: C/O ANALOGIC CORPORATION
STREET 2: 8 CENTENNIAL DRIVE
CITY: PEABODY
STATE: MA
ZIP: 01960
4
1
form4.xml
PRIMARY DOCUMENT
X0306
4
2015-05-04
0001145197
INSULET CORP
PODD
0001468019
Levitz Michael L
C/O INSULET CORPORATION
600 TECHNOLOGY PARK DRIVE, SUITE 200
BILLERICA
MA
01821
1
CFO
Common Stock
2015-05-04
4
A
0
43028
0
A
43028
D
Employee Stock Option (Right to Buy)
27.25
2015-05-04
4
A
0
58852
0
A
2025-05-04
Common Stock
58852
58852
D
The 43,028 restricted stock units vest one-third of the total units on May 4, 2016, one-third of the total units on May 4, 2017 and one-third of the total units on May 4, 2018, subject to continued employment. 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
2015-05-04