0001127602-21-018010.txt : 20210525
0001127602-21-018010.hdr.sgml : 20210525
20210525165110
ACCESSION NUMBER: 0001127602-21-018010
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210521
FILED AS OF DATE: 20210525
DATE AS OF CHANGE: 20210525
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Fallon John A.
CENTRAL INDEX KEY: 0001560152
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33462
FILM NUMBER: 21961345
MAIL ADDRESS:
STREET 1: C/O INSULET CORPORATION
STREET 2: 9 OAK PARK DRIVE
CITY: BEDFORD
STATE: MA
ZIP: 01730
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
2021-05-21
0001145197
INSULET CORP
PODD
0001560152
Fallon John A.
C/O INSULET CORPORATION
100 NAGOG PARK
ACTON
MA
01720
1
Common Stock
2021-05-21
4
M
0
2235
28.87
A
16733
D
Common Stock
2021-05-21
4
M
0
3587
40.60
A
20320
D
Common Stock
2021-05-21
4
S
0
2235
253.6055
D
18085
D
Common Stock
2021-05-21
4
S
0
3587
253.205
D
14498
D
Stock Option (Right to Buy)
28.87
2021-05-21
4
M
0
2235
0
D
2017-04-30
2026-05-11
Common Stock
2235
0
D
Stock Option (Right to Buy)
40.60
2021-05-21
4
M
0
3587
0
D
2018-04-30
2027-05-17
Common Stock
3587
0
D
/s/ John W. Kapples, attorney-in-fact
2021-05-25