0001127602-22-006042.txt : 20220222 0001127602-22-006042.hdr.sgml : 20220222 20220222163602 ACCESSION NUMBER: 0001127602-22-006042 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220218 FILED AS OF DATE: 20220222 DATE AS OF CHANGE: 20220222 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Spears Michael P CENTRAL INDEX KEY: 0001667779 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33462 FILM NUMBER: 22658693 MAIL ADDRESS: STREET 1: C/O INSULET CORPORATION STREET 2: 600 TECHNOLOGY PARK DRIVE, 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 2022-02-18 0001145197 INSULET CORP PODD 0001667779 Spears Michael P C/O INSULET CORPORATION 100 NAGOG PARK ACTON MA 01720 1 SVP, RA and Compliance Common Stock 2022-02-18 4 A 0 4072 0 A 17048 D Common Stock 2022-02-18 4 F 0 1247 234.18 D 15801 D Represents shares issued upon the satisfaction of performance criteria related to Performance Share Units ("PSUs"). 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. /s/ John W. Kapples, attorney-in-fact 2022-02-22