0001014108-22-000026.txt : 20220124 0001014108-22-000026.hdr.sgml : 20220124 20220124202225 ACCESSION NUMBER: 0001014108-22-000026 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220120 FILED AS OF DATE: 20220124 DATE AS OF CHANGE: 20220124 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Dilorio Richard CENTRAL INDEX KEY: 0001706994 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35020 FILM NUMBER: 22550885 MAIL ADDRESS: STREET 1: 31700 RESEARCH PARK DRIVE CITY: MADISON HEIGHTS STATE: MI ZIP: 48071 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 2022-01-20 0 0001337013 InfuSystem Holdings, Inc INFU 0001706994 Dilorio Richard 3851 WEST HAMLIN ROAD ROCHESTER HILL MI 48309 1 1 0 0 President & CEO Common Stock 2022-01-20 4 M 0 15936 1.98 A 255771 D Common Stock 2022-01-20 4 S 0 15936 15.98 D 239835 D Common Stock 2022-01-21 4 M 0 9064 1.98 A 248899 D Common Stock 2022-01-21 4 S 0 9064 15.52 D 239835 D Common Stock 2022-01-21 4 M 0 149 2 A 239984 D Common Stock 2022-01-21 4 S 0 149 15.52 D 239835 D Common Stock 2022-01-24 4 M 0 33519 2 A 273354 D Common Stock 2022-01-24 4 S 0 33519 15.41 D 239835 D Stock Option (right to buy) 1.98 2022-01-20 4 M 0 15936 0 D 2018-09-07 2022-09-07 Common Stock 15936 9064 D Stock Option (right to buy) 1.98 2022-01-21 4 M 0 9064 0 D 2018-09-07 2022-09-07 Common Stock 9064 0 D Stock Option (right to buy) 2 2022-01-21 4 M 0 149 0 D 2017-12-15 2022-11-15 Common Stock 149 199851 D Stock Option (right to buy) 2 2022-01-24 4 M 0 33519 0 D 2017-12-15 2022-11-15 Common Stock 33519 166332 D This total includes 78 shares acquired recently through the Company's Employee Stock Purchase Plan. The transactions reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan previously adopted by the reporting person. 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 Richard Dilorio 2022-01-24