0001127602-16-051418.txt : 20160506
0001127602-16-051418.hdr.sgml : 20160506
20160506181846
ACCESSION NUMBER: 0001127602-16-051418
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160504
FILED AS OF DATE: 20160506
DATE AS OF CHANGE: 20160506
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: Levitz Michael L
CENTRAL INDEX KEY: 0001468019
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33462
FILM NUMBER: 161629488
MAIL ADDRESS:
STREET 1: C/O ANALOGIC CORPORATION
STREET 2: 8 CENTENNIAL DRIVE
CITY: PEABODY
STATE: MA
ZIP: 01960
4
1
form4.xml
PRIMARY DOCUMENT
X0306
4
2016-05-04
0001145197
INSULET CORP
PODD
0001468019
Levitz Michael L
C/O INSULET CORPORATION
600 TECHNOLOGY PARK DRIVE, SUITE 200
BILLERICA
MA
01821
1
SVP and CFO
Common Stock
2016-05-04
4
F
0
4669
30.25
D
48612
D
This transaction represents the withholding of shares received upon the vesting of restricted stock units to cover the associated tax obligations.
Includes 28,686 restricted stock units granted on May 4, 2015, which vest one-half of the total units on May 4, 2017 and one-half of the total units on May 4, 2018; and 10,253 restricted stock units granted on February 24, 2016, which 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.
/s/ David Colleran, attorney-in-fact
2016-05-06