0001127602-23-004859.txt : 20230213 0001127602-23-004859.hdr.sgml : 20230213 20230213162028 ACCESSION NUMBER: 0001127602-23-004859 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230210 FILED AS OF DATE: 20230213 DATE AS OF CHANGE: 20230213 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Christensen Bret CENTRAL INDEX KEY: 0001707443 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33462 FILM NUMBER: 23618790 MAIL ADDRESS: STREET 1: 600 TECHNOLOGY PARK DRIVE STREET 2: 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 2023-02-10 0001145197 INSULET CORP PODD 0001707443 Christensen Bret C/O INSULET CORPORATION 100 NAGOG PARK ACTON MA 01720 1 EVP and CCO Common Stock 2023-02-10 4 F 0 199 294.83 D 16352 D This transaction represents the withholding of shares received upon the vesting of restricted stock units to cover the associated tax obligations. /s/ Patricia K. Dolan, attorney-in-fact 2023-02-13