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