0001127602-24-006043.txt : 20240221 0001127602-24-006043.hdr.sgml : 20240221 20240221160805 ACCESSION NUMBER: 0001127602-24-006043 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240220 FILED AS OF DATE: 20240221 DATE AS OF CHANGE: 20240221 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kapples John W. CENTRAL INDEX KEY: 0001663408 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33462 FILM NUMBER: 24659456 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] 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 2024-02-20 0001145197 INSULET CORP PODD 0001663408 Kapples John W. C/O INSULET CORPORATION 100 NAGOG PARK ACTON MA 01720 1 SVP and General Counsel 0 Common Stock 2024-02-20 4 F 0 130 191.01 D 14873 D Common Stock 2024-02-20 4 A 0 2479 0 A 17352 D Common Stock 2024-02-20 4 F 0 734 192.21 D 16618 D This transaction represents the withholding of shares received 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 2024-02-21