0001127602-16-039854.txt : 20160205
0001127602-16-039854.hdr.sgml : 20160205
20160205172205
ACCESSION NUMBER: 0001127602-16-039854
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160203
FILED AS OF DATE: 20160205
DATE AS OF CHANGE: 20160205
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: Alpuche Charles
CENTRAL INDEX KEY: 0001665678
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33462
FILM NUMBER: 161393309
MAIL ADDRESS:
STREET 1: C/O INSULET CORPORATION
STREET 2: 600 TECHNOLOGY PARK DRIVE, SUITE 200
CITY: BILLERICA
STATE: MA
ZIP: 01821
4
1
form4.xml
PRIMARY DOCUMENT
X0306
4
2016-02-03
0001145197
INSULET CORP
PODD
0001665678
Alpuche Charles
C/O INSULET CORPORATION
600 TECHNOLOGY PARK DRIVE, SUITE 200
BILLERICA
MA
01821
1
SVP, Global Manufacturing
Common Stock
2016-02-03
4
A
0
16021
0
A
16021
D
Employee Stock Option (Right to Buy)
31.21
2016-02-03
4
A
0
43748
0
A
2026-02-03
Common Stock
43748
43748
D
The 16,021 restricted stock units granted on February 3, 2016 vest one-third of the total units on February 3, 2017, one-third of the total units on February 3, 2018 and one-third of the total units on February 3, 2019, 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/ David Colleran, attorney-in-fact
2016-02-05