0001209191-20-022620.txt : 20200402 0001209191-20-022620.hdr.sgml : 20200402 20200402164946 ACCESSION NUMBER: 0001209191-20-022620 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200401 FILED AS OF DATE: 20200402 DATE AS OF CHANGE: 20200402 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: 20769734 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 doc4.xml FORM 4 SUBMISSION X0306 4 2020-04-01 0 0001145197 INSULET CORP PODD 0001663408 Kapples John W. C/O INSULET CORPORATION 100 NAGOG PARK ACTON MA 01720 0 1 0 0 SVP, Secretary and GC Common Stock 2020-04-01 4 F 0 962 159.17 D 10191 D This transaction represents the withholding of shares upon the vesting of restricted stock units to cover the associated tax obligations. /s/ John W. Kapples 2020-04-02