0001127602-16-043657.txt : 20160226 0001127602-16-043657.hdr.sgml : 20160226 20160226183611 ACCESSION NUMBER: 0001127602-16-043657 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160224 FILED AS OF DATE: 20160226 DATE AS OF CHANGE: 20160226 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: 161464175 MAIL ADDRESS: STREET 1: 250 CAMPUS DRIVE CITY: MARLBOROUGH STATE: MA ZIP: 01752 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2016-02-24 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 2016-02-24 4 A 0 10253 0 A 47424 D Employee Stock Option (Right to Buy) 29.26 2016-02-24 4 A 0 27985 0 A 2026-02-24 Common Stock 27985 27985 D Employee Stock Option (Right to Buy) 29.26 2016-02-24 4 A 0 38246 0 A 2026-02-24 Common Stock 38246 38246 D The 10,253 restricted stock units vest one-third of the total units on February 24, 2017, one-third of the total units on February 24, 2018 and one-third of the total units on February 24, 2019, subject to continued employment. Vested shares will be delivered to the reporting person as soon as practicable following a vesting date. Includes 12,122 restricted stock units granted on December 1, 2014, which vest one-half of the total units on December 1, 2016 and one-half of the total units on December 1, 2017; 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; and 6,813 performance share units granted on April 1, 2015, which vest one-third of the total performance share units on April 1, 2016, one-third of the total performance share units vest on April 1, 2017 and one-third of the total performance share units vest on April 1, 2018, subject to continued employment. Vested shares will be delivered to the reporting person as soon as practicable following a vesting date. Includes 569 shares acquired under the Insulet Corporation 2007 Employee Stock Purchase Plan on December 31, 2015. 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. This option is subject to a three-year vesting period with one-third of the total award vesting one year after the grant date and the remainder vesting in equal quarterly installments each quarter thereafter for 8 quarters, subject to continued employment. /s/ David Colleran, attorney-in-fact 2016-02-26