0001127602-19-032855.txt : 20191115 0001127602-19-032855.hdr.sgml : 20191115 20191115163733 ACCESSION NUMBER: 0001127602-19-032855 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191114 FILED AS OF DATE: 20191115 DATE AS OF CHANGE: 20191115 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Spears Michael P CENTRAL INDEX KEY: 0001667779 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33462 FILM NUMBER: 191224987 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: 100 NAGOG PARK CITY: ACTON STATE: MA ZIP: 01720 BUSINESS PHONE: 978-600-7000 MAIL ADDRESS: STREET 1: 100 NAGOG PARK CITY: ACTON STATE: MA ZIP: 01720 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2019-11-14 0001145197 INSULET CORP PODD 0001667779 Spears Michael P C/O INSULET CORPORATION 100 NAGOG PARK ACTON MA 01720 1 SVP, RA and Compliance Common Stock 2019-11-14 4 M 0 1100 29.26 A 23726 D Common Stock 2019-11-14 4 F 0 181 177.50 D 23545 D Employee Stock Option (Right to Buy) 29.26 2019-11-14 4 M 0 1100 0 D 2026-02-24 Common Stock 1100 12642 D 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/ John W. Kapples, attorney-in-fact 2019-11-15