0001127602-17-008304.txt : 20170224 0001127602-17-008304.hdr.sgml : 20170224 20170224183532 ACCESSION NUMBER: 0001127602-17-008304 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170222 FILED AS OF DATE: 20170224 DATE AS OF CHANGE: 20170224 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: 17639014 MAIL ADDRESS: STREET 1: 250 CAMPUS DRIVE CITY: MARLBOROUGH STATE: MA ZIP: 01752 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2017-02-22 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 2017-02-22 4 A 0 6491 0 A 60778 D Employee Stock Option (Right to Buy) 46.22 2017-02-22 4 A 0 17058 0 A 2027-02-22 Common Stock 17058 17058 D The 6,491 restricted stock units vest one-third of the total units on February 22, 2018, and one-third of the total units on February 22, 2019, and one-third of the total units on February 22, 2020, subject to continued employment. Vested shares will be delivered to the reporting person as soon as practicable following a vesting date. Includes 6,061 restricted stock units granted on December 1, 2014, which vest 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 6,836 restricted stock units granted on February 24, 2016, which vest one-half of the total units on February 24, 2018 and one-half 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 an aggregate of 1,264 shares purchased under the Insulet Corporation 2007 Employee Stock Purchase Plan on the following dates: 569 shares acquired on December 31, 2015; 568 shares acquired on June 30, 2016; and 127 shares acquired on November 30, 2016. This option is subject to a four-year vesting period with 25% of the total award vesting one year after the grant date and the remainder vesting in equal quarterly installments each quarter thereafter for 12 quarters, subject to continued employment. /s/ David Colleran, attorney-in-fact 2017-02-24