0001127602-16-052194.txt : 20160513 0001127602-16-052194.hdr.sgml : 20160513 20160513172348 ACCESSION NUMBER: 0001127602-16-052194 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160511 FILED AS OF DATE: 20160513 DATE AS OF CHANGE: 20160513 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: Lemoine David A CENTRAL INDEX KEY: 0001501185 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33462 FILM NUMBER: 161649623 MAIL ADDRESS: STREET 1: C/O THE L S STARRETT COMPANY STREET 2: 121 CRESCENT STREET CITY: ATHOL STATE: MA ZIP: 01331 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2016-05-11 0001145197 INSULET CORP PODD 0001501185 Lemoine David A C/O INSULET CORPORATION 600 TECHNOLOGY PARK DRIVE, SUITE 200 BILLERICA MA 01821 1 Common Stock 2016-05-11 4 A 0 3810 0 A 10220 D Stock Option (Right to Buy) 28.87 2016-05-11 4 A 0 5235 0 A 2017-04-30 2026-05-11 Common Stock 5235 5235 D The 3,810 restricted stock units vest on April 30, 2017, subject to continued service as a director or consultant. Vested shares will be delivered to the reporting person as soon as practicable following a vesting date. Includes 6,410 restricted stock units granted on February 9, 2016, which vest one-half of the total units on February 9, 2017, one-quarter of the total units on February 9, 2018 and one-quarter of the total units on February 9, 2019, subject to continued service as a director or consultant. Vested shares will be delivered to the reporting person as soon as practicable following a vesting date. /s/ David Colleran, attorney-in-fact 2016-05-13