0001014108-21-000208.txt : 20211202 0001014108-21-000208.hdr.sgml : 20211202 20211202191056 ACCESSION NUMBER: 0001014108-21-000208 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211130 FILED AS OF DATE: 20211202 DATE AS OF CHANGE: 20211202 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lehman Gregg Owen CENTRAL INDEX KEY: 0001376620 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35020 FILM NUMBER: 211468275 MAIL ADDRESS: STREET 1: 309 HADDON COURT CITY: FRANKLIN STATE: X1 ZIP: 37067 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: 3851 WEST HAMLIN ROAD CITY: ROCHESTER HILLS STATE: MI ZIP: 48309 BUSINESS PHONE: (248) 291-1210 MAIL ADDRESS: STREET 1: 3851 WEST HAMLIN ROAD CITY: ROCHESTER HILLS STATE: MI ZIP: 48309 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 primary_doc.xml PRIMARY DOCUMENT X0306 4 2021-11-30 0 0001337013 InfuSystem Holdings, Inc INFU 0001376620 Lehman Gregg Owen 3851 WEST HAMLIN ROAD ROCHESTER HILL MI 48309 1 0 0 0 Common Stock 2021-11-30 4 M 0 1292 2.39 A 1638 D Common Stock 2021-11-30 4 S 0 1292 17.03 D 346 D Common Stock 2021-12-01 4 M 0 2645 2.39 A 2991 D Common Stock 2021-12-01 4 S 0 2645 16.18 D 346 D Common Stock 2021-12-02 4 M 0 255 2.39 A 601 D Common Stock 2021-12-02 4 S 0 255 16.01 D 346 D Stock Option (right to buy) 2.39 2021-11-30 4 M 0 1292 0 D 2017-02-18 2022-01-18 Common Stock 1292 8708 D Stock Option (right to buy) 2.39 2021-12-01 4 M 0 2645 0 D 2017-02-18 2022-01-18 Common Stock 2645 6063 D Stock Option (right to buy) 2.39 2021-12-02 4 M 0 255 0 D 2017-02-18 2022-01-18 Common Stock 255 5808 D The price reported in Column 4 is a weighted average price. These shares reported herein were sold in multiple transactions. The reporting person undertakes to provide to the Issuer, any security holder of the Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price. /s/ Kevin Whitman, Attorney-in-Fact for Gregg O. Lehman 2021-12-02