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