0001127602-23-006181.txt : 20230221
0001127602-23-006181.hdr.sgml : 20230221
20230221161557
ACCESSION NUMBER: 0001127602-23-006181
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20230217
FILED AS OF DATE: 20230221
DATE AS OF CHANGE: 20230221
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: 23648320
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
2023-02-17
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
2023-02-17
4
F
0
109
296.00
D
12510
D
Common Stock
2023-02-17
4
A
0
1864
0
A
14374
D
Common Stock
2023-02-17
4
F
0
548
296.00
D
13826
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
EX-24
2
doc1.txt
POWER OF ATTORNEY (PUBLIC): POA
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS, that the undersigned hereby constitutes
and appoints Wayde D. McMillan and Patricia K. Dolan,
and each of them acting singly, the true and lawful attorneys-in-fact
and agents, with full power of substitution and resubstitution, for
the undersigned and in the undersigned's name, place and stead, in
any and all capacities (until revoked in writing) to execute for and
on behalf of the undersigned, in any and all of the undersigned's
capacities, and any and all statements on Forms 3, 4 and 5 with respect
to the undersigned's holdings of and transactions in securities issued
by Insulet Corporation (the "Company") in accordance with Sections 16(a)
of the Securities Exchange Act of 1934, as amended (the "Exchange Act"),
and any and all regulations promulgated thereunder, and to file the same,
with all exhibits thereto, and any other documents in connection therewith,
with the Securities and Exchange Commission, and with any other entity when
and if such is mandated by the Exchange Act or by the By-laws of the
National Association of Securities Dealers, granting unto said
attorneys-in-fact and agents full power and authority to do and perform
each and every act and thing requisite and necessary fully to all intents
and purposes as the undersigned might or could do in person thereby
ratifying and confirming all that said attorneys-in-fact and agents, or
their substitute or substitutes, may lawfully do or cause to be done
by virtue hereof.
This Power of Attorney shall remain in full force and effect
until the undersigned is no longer required to file Forms 3, 4
and 5 with respect to the undersigned's holdings of and
transactions in securities issued by the Company, unless earlier
revoked by the undersigned in a signed writing delivered to
the foregoing attorneys-in-fact.
IN WITNESS WHEREOF, this Power of Attorney
has been signed as of June 28, 2022.
Signature: /s/ John W. Kapples
Print Name: John W. Kapples