0001127602-21-005234.txt : 20210211 0001127602-21-005234.hdr.sgml : 20210211 20210211162140 ACCESSION NUMBER: 0001127602-21-005234 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210210 FILED AS OF DATE: 20210211 DATE AS OF CHANGE: 20210211 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Benjamin Eric CENTRAL INDEX KEY: 0001731734 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33462 FILM NUMBER: 21619964 MAIL ADDRESS: STREET 1: C/O INSULET CORPORATION STREET 2: 600 TECHNOLOGY PARK DR, 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 2021-02-10 0001145197 INSULET CORP PODD 0001731734 Benjamin Eric C/O INSULET CORPORATION 100 NAGOG PARK ACTON MA 01720 1 SVP, Innovation and Strategy Common Stock 2021-02-10 4 F 0 107 280.15 D 8626 D This transaction represents the withholding of shares received upon the vesting of restricted stock units to cover the associated tax obligations. Includes 29 shares acquired under the Insulet Corporation Stock Purchase Plan since the date of the Reporting Person's last Form 4 filing. /s/ John W. Kapples, attorney-in-fact 2021-02-11