0001127602-11-011704.txt : 20110401
0001127602-11-011704.hdr.sgml : 20110401
20110401173059
ACCESSION NUMBER: 0001127602-11-011704
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110401
FILED AS OF DATE: 20110401
DATE AS OF CHANGE: 20110401
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DePietro Ruthann
CENTRAL INDEX KEY: 0001395780
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33462
FILM NUMBER: 11732799
MAIL ADDRESS:
STREET 1: C/O INSULET CORPORATION
STREET 2: 9 OAK PARK DRIVE
CITY: BEDFORD
STATE: MA
ZIP: 01730
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: 9 OAK PARK DRIVE
CITY: BEDFORD
STATE: MA
ZIP: 01730
BUSINESS PHONE: (781) 457-5000
MAIL ADDRESS:
STREET 1: 9 OAK PARK DRIVE
CITY: BEDFORD
STATE: MA
ZIP: 01730
4
1
form4.xml
PRIMARY DOCUMENT
X0303
4
2011-04-01
0001145197
INSULET CORP
PODD
0001395780
DePietro Ruthann
C/O INSULET CORPORATION
9 OAK PARK DRIVE
BEDFORD
MA
01730
1
Vice President of Quality
Common Stock
2011-04-01
4
M
0
1500
5.94
A
17073
D
Common Stock
2011-04-01
4
S
0
1500
20.88
D
15573
D
Employee Stock Option (Right to Buy)
5.94
2011-04-01
4
M
0
1500
0
D
2016-03-06
Common Stock
1500
55141
D
This option may be exercised at any time, whether vested or not, but, upon termination of employment, we may repurchase any unvested shares at the exercise price paid for the shares. This option is subject to a four-year vesting period, with 25% of the total award vesting one year after the grant date and the remainder vesting in equal monthly installments each month thereafter for 36 months, subject to continued employment.
Includes 5,334 restricted stock units granted on March 1, 2010 which vest one-half of the total units on March 1, 2012 and one-half on March 1, 2013; and 8,000 restricted stock units granted on March 1, 2011 which vest one-third of the total units on March 1, 2012 and one-third each on March 1, 2013 and March 1, 2014. Vested shares will be delivered to the reporting person as soon as practiable following a vesting date.
Includes an aggregate of 420 shares acquired under the Insulet Corporation 2007 Employee Stock Purchase Plan: 20 shares acquired on December 31, 2007; 48 shares acquired on June 30, 2008; 100 shares acquired on December 31, 2008; 99 shares acquired on June 30, 2009; 53 shares acquired on December 31, 2009; 51 shares acquired on June 30, 2010; and 49 shares acquired on December 31, 2010.
The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on August 20, 2010.
/s/ R. Anthony Diehl, attorney in fact
2011-04-01