0001127602-15-023645.txt : 20150729
0001127602-15-023645.hdr.sgml : 20150729
20150729161144
ACCESSION NUMBER: 0001127602-15-023645
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150727
FILED AS OF DATE: 20150729
DATE AS OF CHANGE: 20150729
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: Hopfield Jessica
CENTRAL INDEX KEY: 0001648715
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33462
FILM NUMBER: 151012898
MAIL ADDRESS:
STREET 1: C/O 600 TECHNOLOGY PARK DRIVE
STREET 2: SUITE 200
CITY: BILLERICA
STATE: MA
ZIP: 01821
4
1
form4.xml
PRIMARY DOCUMENT
X0306
4
2015-07-27
0001145197
INSULET CORP
PODD
0001648715
Hopfield Jessica
C/O INSULET CORPORATION
600 TECHNOLOGY PARK DRIVE, SUITE 200
BILLERICA
MA
01821
1
Common Stock
2015-07-27
4
A
0
5608
0
A
5608
D
Stock Option (Right to Buy)
29.87
2015-07-27
4
A
0
7628
0
A
2025-07-27
Common Stock
7628
7628
D
The 5,608 restricted stock units vest 50% of the total units on July 27, 2016, 25% of the total units on July 27, 2017 and 25% of the total units on July 27, 2018, subject to continued service as a director or consultant. Vested shares will be delivered to the reporting person as soon as practicable following a vesting date.
This option is subject to a three-year vesting period with 50% of the total award vesting on the first anniversary of the date of grant and 25% on each of the second and third anniversaries of the date of grant, subject to continued service as a director or consultant.
/s/ David Colleran, attorney-in-fact
2015-07-29