0001127602-21-006724.txt : 20210219
0001127602-21-006724.hdr.sgml : 20210219
20210219161126
ACCESSION NUMBER: 0001127602-21-006724
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210217
FILED AS OF DATE: 20210219
DATE AS OF CHANGE: 20210219
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: 21655676
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
2021-02-17
0001145197
INSULET CORP
PODD
0001731734
Benjamin Eric
C/O INSULET CORPORATION
100 NAGOG PARK
ACTON
MA
01720
1
SVP, Innovation and Strategy
Common Stock
2021-02-17
4
A
0
893
0
A
9322
D
Common Stock
2021-02-17
4
A
0
2584
0
A
11906
D
Common Stock
2021-02-17
4
F
0
761
279.69
D
11145
D
Employee Stock Option (Right to Buy)
279.69
2021-02-17
4
A
0
2602
0
A
2031-02-17
Common Stock
2602
2602
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.
The Performance Share Units ("PSUs") were granted on February 13, 2018, and the Compensation Committee of the Board of Directors determined on February 17, 2021 that the PSUs were earned based on the performance of the Company. The PSUs were settled in shares of common stock on a one-for-one basis.
This transaction represents the withholding of shares upon the vesting of performance share units to cover the associated tax obligations.
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, attorney-in-fact
2021-02-19