0001127602-21-018313.txt : 20210528 0001127602-21-018313.hdr.sgml : 20210528 20210528161236 ACCESSION NUMBER: 0001127602-21-018313 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210527 FILED AS OF DATE: 20210528 DATE AS OF CHANGE: 20210528 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Scannell Timothy J CENTRAL INDEX KEY: 0001451533 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33462 FILM NUMBER: 21980319 MAIL ADDRESS: STREET 1: 2825 AIRVIEW BOULEVARD CITY: KALAMAZOO STATE: MI ZIP: 49002 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 2021-05-27 0001145197 INSULET CORP PODD 0001451533 Scannell Timothy J C/O INSULET CORPORATION 100 NAGOG PARK ACTON MA 01720 1 Common Stock 2021-05-27 4 A 0 808 0 A 24387 D Annual equity award in the form of restricted stock units ("RSUs"). RSUs vest in full on April 30, 2022 and are settled in shares of common stock on a one-for-one basis. /s/ John W. Kapples, attorney-in-fact 2021-05-28