0001127602-20-005088.txt : 20200212
0001127602-20-005088.hdr.sgml : 20200212
20200212165502
ACCESSION NUMBER: 0001127602-20-005088
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200210
FILED AS OF DATE: 20200212
DATE AS OF CHANGE: 20200212
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Kapples John W.
CENTRAL INDEX KEY: 0001663408
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33462
FILM NUMBER: 20605037
MAIL ADDRESS:
STREET 1: C/O GCP APPLIED TECHNOLOGIES INC.
STREET 2: 62 WHITTEMORE AVENUE
CITY: CAMBRIDGE
STATE: MA
ZIP: 02140
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
2020-02-10
0001145197
INSULET CORP
PODD
0001663408
Kapples John W.
C/O INSULET CORPORATION
100 NAGOG PARK
ACTON
MA
01720
1
SVP, Secretary and GC
Common Stock
2020-02-10
4
A
0
1110
0
A
11153
D
Employee Stock Option (Right to Buy)
202.64
2020-02-10
4
A
0
3141
0
A
2030-02-10
Common Stock
3141
3141
D
Annual Restricted Stock Unit ("RSU") award. RSUs vest in equal installments on each of the first, second and third anniversaries of the grant date and are settled in shares of common stock on a one-for-one basis.
Includes 218 shares acquired under the Insulet Corporation Employee Stock Purchase Plan on November 29, 2019.
Annual Non-Qualified Stock Option ("Option") Award. The Options become exercisable in substantially equal installments on each of the first, second, third and fourth anniversaries of the grant date.
/s/ John W. Kapples
2020-02-12