0001127602-24-000811.txt : 20240104 0001127602-24-000811.hdr.sgml : 20240104 20240104160400 ACCESSION NUMBER: 0001127602-24-000811 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240103 FILED AS OF DATE: 20240104 DATE AS OF CHANGE: 20240104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Cousin Laetitia CENTRAL INDEX KEY: 0001971741 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33462 FILM NUMBER: 24511768 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] ORGANIZATION NAME: 08 Industrial Applications and Services 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 X0508 4 2024-01-03 0001145197 INSULET CORP PODD 0001971741 Cousin Laetitia C/O INSULET CORPORATION 100 NAGOG PARK ACTON MA 01720 1 SVP, Reg, Quality & Compliance 0 Common Stock 2024-01-03 4 F 0 144 194.66 D 1446 D This transaction represents the withholding of shares received upon the vesting of restricted stock units to cover the associated tax obligations. Includes 91 shares acquired under the Insulet Corporation Stock Purchase Plan since the date of the Reporting Person's last Section 16 filing. /s/ Patricia K. Dolan, attorney-in-fact 2024-01-04