0001127602-18-011732.txt : 20180315 0001127602-18-011732.hdr.sgml : 20180315 20180315184323 ACCESSION NUMBER: 0001127602-18-011732 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180313 FILED AS OF DATE: 20180315 DATE AS OF CHANGE: 20180315 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Abdel-Malek Aiman CENTRAL INDEX KEY: 0001670040 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33462 FILM NUMBER: 18693745 MAIL ADDRESS: STREET 1: C/O INSULET CORPORATION STREET 2: 600 TECHNOLOGY PARK DRIVE, SUITE 200 CITY: BILLERICA STATE: MA ZIP: 01821 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 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2018-03-13 0001145197 INSULET CORP PODD 0001670040 Abdel-Malek Aiman C/O INSULET CORPORATION 600 TECHNOLOGY PARK DRIVE, SUITE 200 BILLERICA MA 01821 1 EVP & Chief Technology Officer Common Stock 2018-03-13 4 M 0 3205 31.20 A 29788 D Common Stock 2018-03-13 4 F 0 1183 84.50 D 28605 D Employee Stock Option (Right to Buy) 31.20 2018-03-13 4 M 0 3205 0 D 2026-03-28 Common Stock 3205 35087 D Includes 9,348 restricted stock units granted on March 28, 2016, which vest one-half of the total units on March 28, 2018 and one-half of the total units on March 28, 2019; 8,012 performance share units granted on March 28, 2016, which vest one-half of the total units on March 28, 2018 and one-half of the total units on March 28, 2019; 2,885 restricted stock units granted on February 22, 2017, which vest one-half of the total units on February 22, 2019 and one-half of the total units on February 22, 2020; and 2,685 restricted stock units granted on February 14, 2018, which vest one-third of the total units on February 14, 2019, one-third of the total units on February 14, 2020 and one-third of the total units on February 14, 2021, 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 1,197 shares acquired under the Insulet Corporation 2007 Employee Stock Purchase Plan on the following dates: 474 shares acquired on November 30, 2016, 588 shares acquired on May 31, 2017 and 135 shares acquired on November 30, 2017. Constitutes previously owned shares to cover the exercise price of the option being exercised through a stock swap. 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 2018-03-15