0001127602-22-007723.txt : 20220302 0001127602-22-007723.hdr.sgml : 20220302 20220302163957 ACCESSION NUMBER: 0001127602-22-007723 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220228 FILED AS OF DATE: 20220302 DATE AS OF CHANGE: 20220302 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kapples John W. CENTRAL INDEX KEY: 0001663408 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33462 FILM NUMBER: 22704312 MAIL ADDRESS: STREET 1: C/O GCP APPLIED TECHNOLOGIES INC. STREET 2: 62 WHITTEMORE AVENUE CITY: CAMBRIDGE STATE: MA ZIP: 02140 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 2022-02-28 0001145197 INSULET CORP PODD 0001663408 Kapples John W. C/O INSULET CORPORATION 100 NAGOG PARK ACTON MA 01720 1 SVP and General Counsel Common Stock 2022-02-28 4 A 0 1369 0 A 14108 D Employee Stock Option (Right to Buy) 264.69 2022-02-28 4 A 0 3770 0 A 2032-02-28 Common Stock 3770 3770 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. 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 2022-03-02