0001127602-23-006178.txt : 20230221 0001127602-23-006178.hdr.sgml : 20230221 20230221161200 ACCESSION NUMBER: 0001127602-23-006178 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230217 FILED AS OF DATE: 20230221 DATE AS OF CHANGE: 20230221 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Budden Lauren CENTRAL INDEX KEY: 0001774891 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33462 FILM NUMBER: 23648239 MAIL ADDRESS: STREET 1: C/O INSULET CORPORATION STREET 2: 100 NAGOG PARK CITY: ACTON STATE: MA ZIP: 01720 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 2023-02-17 0001145197 INSULET CORP PODD 0001774891 Budden Lauren C/O INSULET CORPORATION 100 NAGOG PARK ACTON MA 01720 1 Group VP, CAO and Controller Common Stock 2023-02-17 4 F 0 29 296.00 D 5548 D Common Stock 2023-02-17 4 A 0 341 0 A 5889 D Common Stock 2023-02-17 4 F 0 110 296.00 D 5779 D This transaction represents the withholding of shares upon the vesting of restricted stock units to cover the associated tax obligations. 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/ Patricia K. Dolan, attorney-in-fact 2023-02-21