0001127602-16-050507.txt : 20160502
0001127602-16-050507.hdr.sgml : 20160502
20160502170937
ACCESSION NUMBER: 0001127602-16-050507
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160430
FILED AS OF DATE: 20160502
DATE AS OF CHANGE: 20160502
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: LEVANGIE DANIEL J
CENTRAL INDEX KEY: 0001187406
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33462
FILM NUMBER: 161612542
MAIL ADDRESS:
STREET 1: 85 SWANSON ROAD
CITY: BOXBOROUGH
STATE: MA
ZIP: 01719
4
1
form4.xml
PRIMARY DOCUMENT
X0306
4
2016-04-30
0001145197
INSULET CORP
PODD
0001187406
LEVANGIE DANIEL J
C/O INSULET CORPORATION
600 TECHNOLOGY PARK DRIVE, SUITE 200
BILLERICA
MA
01821
1
EVP & President, Drug Delivery
Common Stock
2016-04-30
4
F
0
652
33.30
D
21122
D
This transaction represents the withholding of shares received upon the vesting of restricted stock units to cover the associated tax obligations.
Includes 1,000 restricted stock units granted on June 2, 2014, which vest on April 30, 2017; and 4,542 performance share units granted on April 1, 2015, which vest one-half of the total performance share units on April 1, 2017 and one-half of the performance share units 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.
/s/ David Colleran, attorney-in-fact
2016-05-02