0001127602-21-006733.txt : 20210219
0001127602-21-006733.hdr.sgml : 20210219
20210219161537
ACCESSION NUMBER: 0001127602-21-006733
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210217
FILED AS OF DATE: 20210219
DATE AS OF CHANGE: 20210219
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: 21655763
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
form4.xml
PRIMARY DOCUMENT
X0306
4
2021-02-17
0001145197
INSULET CORP
PODD
0001663408
Kapples John W.
C/O INSULET CORPORATION
100 NAGOG PARK
ACTON
MA
01720
1
SVP, Secretary and GC
Common Stock
2021-02-17
4
A
0
1117
0
A
11318
D
Employee Stock Option (Right to Buy)
279.69
2021-02-17
4
A
0
3252
0
A
2031-02-17
Common Stock
3252
3252
D
Annual Restricted Stock Unit ("RSU") award. RSUs vest in equal installments on each of the first, second and third anniversaries of the grant date and are settled in shares of common stock on a one-for-one basis.
Annual Non-Qualified Stock Option ("Option") Award. The Options become exercisable in substantially equal installments on each of the first, second, third and fourth anniversaries of the grant date.
/s/ John W. Kapples
2021-02-19