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