0001096906-20-000461.txt : 20201209 0001096906-20-000461.hdr.sgml : 20201209 20201209174020 ACCESSION NUMBER: 0001096906-20-000461 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201207 FILED AS OF DATE: 20201209 DATE AS OF CHANGE: 20201209 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BlueLine Capital Partners II, L.P. CENTRAL INDEX KEY: 0001460781 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35020 FILM NUMBER: 201378777 BUSINESS ADDRESS: STREET 1: 3480 BUSKIRK AVENUE STREET 2: SUITE 214 CITY: PLEASANT HILL STATE: CA ZIP: 94523 BUSINESS PHONE: 925-236-9790 MAIL ADDRESS: STREET 1: 3480 BUSKIRK AVENUE STREET 2: SUITE 214 CITY: PLEASANT HILL STATE: CA ZIP: 94523 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Meridian OHC LLC CENTRAL INDEX KEY: 0001601538 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35020 FILM NUMBER: 201378778 BUSINESS ADDRESS: STREET 1: 405 WEED STREET CITY: NEW CANAAN STATE: CT ZIP: 06840 BUSINESS PHONE: 203-643-9300 MAIL ADDRESS: STREET 1: 405 WEED STREET CITY: NEW CANAAN STATE: CT ZIP: 06840 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Meridian TSV II, LP CENTRAL INDEX KEY: 0001601536 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35020 FILM NUMBER: 201378779 BUSINESS ADDRESS: STREET 1: 405 WEED STREET CITY: NEW CANAAN STATE: CT ZIP: 06840 BUSINESS PHONE: 203-643-9300 MAIL ADDRESS: STREET 1: 405 WEED STREET CITY: NEW CANAAN STATE: CT ZIP: 06840 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: TSV Investment Partners, LLC CENTRAL INDEX KEY: 0001603326 STATE OF INCORPORATION: CT FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35020 FILM NUMBER: 201378780 BUSINESS ADDRESS: STREET 1: 405 WEED STREET CITY: NEW CANAAN STATE: CT ZIP: 06840 BUSINESS PHONE: 203-643-9300 MAIL ADDRESS: STREET 1: 405 WEED STREET CITY: NEW CANAAN STATE: CT ZIP: 06840 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BlueLine Partners, L.L.C. CENTRAL INDEX KEY: 0001311443 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35020 FILM NUMBER: 201378781 BUSINESS ADDRESS: STREET 1: 3480 BUSKIRK AVENUE STREET 2: SUITE 214 CITY: PLEASANT HILL STATE: CA ZIP: 94523 BUSINESS PHONE: 925-648-2085 MAIL ADDRESS: STREET 1: 3480 BUSKIRK AVENUE STREET 2: SUITE 214 CITY: PLEASANT HILL STATE: CA ZIP: 94523 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: InfuSystem Holdings, Inc CENTRAL INDEX KEY: 0001337013 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 203341405 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 31700 RESEARCH PARK DRIVE CITY: MADISON HEIGHTS STATE: MI ZIP: 48071 BUSINESS PHONE: (248) 291-1210 MAIL ADDRESS: STREET 1: 31700 RESEARCH PARK DRIVE CITY: MADISON HEIGHTS STATE: MI ZIP: 48071 FORMER COMPANY: FORMER CONFORMED NAME: HAPC, Inc. DATE OF NAME CHANGE: 20060425 FORMER COMPANY: FORMER CONFORMED NAME: Healthcare Acquisition Partners Corp. DATE OF NAME CHANGE: 20050824 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2020-12-07 0 0001337013 InfuSystem Holdings, Inc INFU 0001460781 BlueLine Capital Partners II, L.P. C/O BLUELINE PARTNERS, LLC 3480 BUSKIRK AVENUE, SUITE 215 PLEASANT HILL CA 94523 1 0 0 0 0001601538 Meridian OHC LLC 425 WEED STREET NEW CANAAN CT 06840 0 0 1 0 0001601536 Meridian TSV II, LP 425 WEED STREET NEW CANAAN CT 06840 0 0 1 0 0001603326 TSV Investment Partners, LLC 425 WEED STREET NEW CANAAN CT 06840 0 0 1 0 0001311443 BlueLine Partners, L.L.C. 3480 BUSKIRK AVENUE SUITE 214 PLEASANT HILL CA 94523 0 0 1 0 Common Stock 2020-12-07 4 S 0 2900.0000 17.2100 D 499850.0000 D Common Stock 2020-12-08 4 S 0 4489.0000 17.0400 D 495361.0000 D Common Stock 2020-12-09 4 S 0 1705.0000 17.0000 D 493656.0000 D 1. These securities were owned by BlueLine Capital Partners II, LP. The shares were sold on behalf of the estate of a limited partner of the fund that passed during the year. The shares reported in Column 4 were sold in multiple transactions and the price reported is the weighted-average price for the day. The reporting persons undertake to provide to InfuSystem Holdings, Inc., any security holder of InfuSystem Holdings, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares purchased at each separate price. /s/ Scott Shuda 2020-12-09