0001127602-16-051420.txt : 20160506 0001127602-16-051420.hdr.sgml : 20160506 20160506183122 ACCESSION NUMBER: 0001127602-16-051420 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160505 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: Thomas Bradley A CENTRAL INDEX KEY: 0001395641 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33462 FILM NUMBER: 161629526 MAIL ADDRESS: STREET 1: 250 CAMPUS DRIVE CITY: MARLBOROUGH STATE: MA ZIP: 01752 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2016-05-05 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 2016-05-05 4 P 0 1656 30.1269 A 48340 D 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; 8,203 restricted stock units granted on March 2, 2015, which vest one-half of the total units on March 2, 2017 and one-half of the total units on March 2, 2018; 4,542 performance share units granted on April 1, 2015, which vest one-half of the total performance share units vest on April 1, 2017 and one-half of the total performance share units vest on April 1, 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. Includes 569 shares acquired under the Insulet Corporation 2007 Employee Stock Purchase Plan on December 31, 2015. /s/ David Colleran, attorney-in-fact 2016-05-06