0001127602-17-004351.txt : 20170207 0001127602-17-004351.hdr.sgml : 20170207 20170207163441 ACCESSION NUMBER: 0001127602-17-004351 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170203 FILED AS OF DATE: 20170207 DATE AS OF CHANGE: 20170207 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: Alpuche Charles CENTRAL INDEX KEY: 0001665678 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33462 FILM NUMBER: 17579480 MAIL ADDRESS: STREET 1: C/O INSULET CORPORATION STREET 2: 600 TECHNOLOGY PARK DRIVE, SUITE 200 CITY: BILLERICA STATE: MA ZIP: 01821 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2017-02-03 0001145197 INSULET CORP PODD 0001665678 Alpuche Charles C/O INSULET CORPORATION 600 TECHNOLOGY PARK DRIVE, SUITE 200 BILLERICA MA 01821 1 SVP, Global Manufacturing Common Stock 2017-02-03 4 F 0 1843 42.76 D 20778 D This transaction represents the withholding of shares received upon the vesting of restricted stock units to cover the associated tax obligations. Includes 10,681 restricted stock units granted on February 3, 2016, which vest one-half of the total units on February 3, 2018 and one-half of the total units on February 3, 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 2017-02-07