0001127602-16-047840.txt : 20160330
0001127602-16-047840.hdr.sgml : 20160330
20160330171045
ACCESSION NUMBER: 0001127602-16-047840
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20160328
FILED AS OF DATE: 20160330
DATE AS OF CHANGE: 20160330
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: Abdel-Malek Aiman
CENTRAL INDEX KEY: 0001670040
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33462
FILM NUMBER: 161540653
MAIL ADDRESS:
STREET 1: C/O INSULET CORPORATION
STREET 2: 600 TECHNOLOGY PARK DRIVE, SUITE 200
CITY: BILLERICA
STATE: MA
ZIP: 01821
3
1
form3.xml
PRIMARY DOCUMENT
X0206
3
2016-03-28
0
0001145197
INSULET CORP
PODD
0001670040
Abdel-Malek Aiman
C/O INSULET CORPORATION
600 TECHNOLOGY PARK DRIVE, SUITE 200
BILLERICA
MA
01821
1
SVP, Advanced Technology
No Securities Are Beneficially Owned
0
D
/s/ David Colleran, attorney-in-fact
2016-03-30
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 Levitz, and any 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 March 21, 2016.
Signature: /s/ Aiman Abdel-Malek
Name: Aiman Abdel-Malek, PhD