0001127602-20-007335.txt : 20200224
0001127602-20-007335.hdr.sgml : 20200224
20200224171254
ACCESSION NUMBER: 0001127602-20-007335
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200221
FILED AS OF DATE: 20200224
DATE AS OF CHANGE: 20200224
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Petrovic Shacey
CENTRAL INDEX KEY: 0001631895
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33462
FILM NUMBER: 20645453
MAIL ADDRESS:
STREET 1: 600 TECHNOLOGY PARK DRIVE
STREET 2: 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
2020-02-21
0001145197
INSULET CORP
PODD
0001631895
Petrovic Shacey
C/O INSULET CORPORATION
100 NAGOG PARK
ACTON
MA
01720
1
1
President and CEO
Common Stock
2020-02-21
4
A
0
43272
0
A
143237
D
Common Stock
2020-02-21
4
F
0
21192
212.31
D
122045
D
The Performance Share Units ("PSUs") were granted on February 22, 2017, and the Compensation Committee of the Board of Directors determined on February 21, 2020 that the PSUs were earned based on the performance of the Company. The PSUs vest in full on the later of the date of determination by the Compensation Committee or the third anniversary of the date of grant and are settled in shares of common stock on a one-for-one basis.
This transaction represents the withholding of shares upon the vesting of restricted stock units and performance share units to cover the associated tax obligations.
/s/ John W. Kapples, attorney-in-fact
2020-02-24