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