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