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