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