0001127602-24-016771.txt : 20240529 0001127602-24-016771.hdr.sgml : 20240529 20240529160406 ACCESSION NUMBER: 0001127602-24-016771 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240528 FILED AS OF DATE: 20240529 DATE AS OF CHANGE: 20240529 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Scannell Timothy J CENTRAL INDEX KEY: 0001451533 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33462 FILM NUMBER: 24998260 MAIL ADDRESS: STREET 1: 2825 AIRVIEW BOULEVARD CITY: KALAMAZOO STATE: MI ZIP: 49002 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 2024-05-28 0001145197 INSULET CORP PODD 0001451533 Scannell Timothy J C/O INSULET CORPORATION 100 NAGOG PARK ACTON MA 01720 1 0 Common Stock 2024-05-28 4 M 0 3920 36.38 A 31539 D Common Stock 2024-05-28 4 M 0 5525 27.37 A 37064 D Common Stock 2024-05-28 4 M 0 5235 28.87 A 42299 D Common Stock 2024-05-28 4 M 0 3587 40.60 A 45886 D Common Stock 2024-05-28 4 S 0 3300 180.90 D 42586 D Stock Option (Right to Buy) 36.38 2024-05-28 4 M 0 3920 0 D 2024-09-02 Common Stock 3920 0 D Stock Option (Right to Buy) 27.37 2024-05-28 4 M 0 5525 0 D 2025-05-13 Common Stock 5525 0 D Stock Option (Right to Buy) 28.87 2024-05-28 4 M 0 5235 0 D 2017-04-30 2026-05-11 Common Stock 5235 0 D Stock Option (Right to Buy) 40.60 2024-05-28 4 M 0 3587 0 D 2018-04-30 2027-05-17 Common Stock 3587 0 D This option, which is fully vested, vested over a three-year period with 50% of the total award vesting on the first anniversary of the grant date and the remaining 50% of the award vesting equally on the second and third anniversaries of the grant date, which was September 2, 2014. This option, which is fully vested, vested over a three-year period with 50% of the total award vesting on the first anniversary of the grant date and the remaining 50% of the award vesting equally on the second and third anniversaries of the grant date, which was May 13, 2015. /s/ Patricia K. Dolan, attorney-in-fact 2024-05-29