0001127602-23-007984.txt : 20230301
0001127602-23-007984.hdr.sgml : 20230301
20230301174152
ACCESSION NUMBER: 0001127602-23-007984
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230228
FILED AS OF DATE: 20230301
DATE AS OF CHANGE: 20230301
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Benjamin Eric
CENTRAL INDEX KEY: 0001731734
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33462
FILM NUMBER: 23695307
MAIL ADDRESS:
STREET 1: C/O INSULET CORPORATION
STREET 2: 600 TECHNOLOGY PARK DR, 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
2023-02-28
0001145197
INSULET CORP
PODD
0001731734
Benjamin Eric
C/O INSULET CORPORATION
100 NAGOG PARK
ACTON
MA
01720
1
EVP, Innovation and Strategy
Common Stock
2023-02-28
4
F
0
148
276.36
D
15730
D
Common Stock
2023-02-28
4
A
0
1809
0
A
17539
D
Employee Stock Option (Right to Buy)
276.36
2023-02-28
4
A
0
4335
0
A
2033-02-28
Common Stock
4335
4335
D
This transaction represents the withholding of shares upon the vesting of restricted stock units to cover the associated tax obligations.
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/ Patricia K. Dolan, attorney-in-fact
2023-03-01