0001127602-15-025692.txt : 20150824
0001127602-15-025692.hdr.sgml : 20150824
20150824174544
ACCESSION NUMBER: 0001127602-15-025692
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20150820
FILED AS OF DATE: 20150824
DATE AS OF CHANGE: 20150824
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: Thomas Bradley A
CENTRAL INDEX KEY: 0001395641
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33462
FILM NUMBER: 151071755
MAIL ADDRESS:
STREET 1: 250 CAMPUS DRIVE
CITY: MARLBOROUGH
STATE: MA
ZIP: 01752
4
1
form4.xml
PRIMARY DOCUMENT
X0306
4
2015-08-20
0001145197
INSULET CORP
PODD
0001395641
Thomas Bradley A
C/O INSULET CORPORATION
600 TECHNOLOGY PARK DRIVE, SUITE 200
BILLERICA
MA
01821
1
EVP Human Resources
Common Stock
2015-08-20
4
P
0
845
29.41
A
32331
D
The price reported represents the weighted average sale price of the shares sold. The shares were sold at varying prices in the range of $29.4000 to $29.4099. The Reporting Person hereby undertakes, upon request of the Staff of the U.S. Securities Exchange Commission, the Issuer or a security holder of the Issuer, to provide full information regarding the number of shares sold at each separate price.
Includes 18,182 restricted stock units granted on December 1, 2014, which vest one-third of the total units on December 1, 2015, one-third of the total units on December 1, 2016 and one-third of the total units on December 1, 2017; and 12,304 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.
/s/ David Colleran, attorney-in-fact
2015-08-24
EX-24
2
doc1.txt
POWER OF ATTORNEY (PUBLIC):
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS, that the undersigned hereby constitutes
and appoints Patrick J. Sullivan, David Colleran and Michael L. Levitz,
and any one of them acting singly, the true and lawful attorneys-in-fact
and agents, with full power of substitution and resubstitution, for the
undersigned and in the undersigned's name, place and stead, in any
and all capacities (until revoked in writing) to execute for and
on behalf of the undersigned, in any and all of the undersigned's
capacities, any and all statements on Forms 3, 4 and 5 with respect
to the undersigned's holdings of and transactions in securities
issued by Insulet Corporation (the ?Company?) in accordance with
Sections 16(a) of the Securities Exchange Act of 1934, as amended
(the ?Exchange Act?), and any and all regulations promulgated
thereunder, and to file the same, with all exhibits thereto, and
any other documents in connection therewith, with the Securities
and Exchange Commission, and with any other entity when and if such
is mandated by the Exchange Act or by the By-laws of the National
Association of Securities Dealers, granting unto said attorneys-in-fact
and agents full power and authority to do and perform each and every
act and thing requisite and necessary fully to all intents and
purposes as the undersigned might or could do in person thereby
ratifying and confirming all that said attorneys-in-fact and
agents, or their substitute or substitutes, may lawfully do or
cause to be done by virtue hereof.
This Power of Attorney shall remain in full force and effect
until the undersigned is no longer required to file Forms 3, 4
and 5 with respect to the undersigned?s holdings of and
transactions in securities issued by the Company, unless
earlier revoked by the undersigned in a signed writing
delivered to the foregoing attorneys-in-fact.
IN WITNESS WHEREOF, this Power of Attorney has been
signed as of August 11, 2015.
Signature: /s/ Bradley Thomas
Name: Bradley Thomas