0001127602-21-028955.txt : 20211112
0001127602-21-028955.hdr.sgml : 20211112
20211112160654
ACCESSION NUMBER: 0001127602-21-028955
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211111
FILED AS OF DATE: 20211112
DATE AS OF CHANGE: 20211112
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Lemoine David A
CENTRAL INDEX KEY: 0001501185
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-33462
FILM NUMBER: 211403436
MAIL ADDRESS:
STREET 1: C/O THE L S STARRETT COMPANY
STREET 2: 121 CRESCENT STREET
CITY: ATHOL
STATE: MA
ZIP: 01331
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
2021-11-11
0001145197
INSULET CORP
PODD
0001501185
Lemoine David A
C/O INSULET CORPORATION
100 NAGOG PARK
ACTON
MA
01720
1
Common Stock
2021-11-11
4
M
0
5235
28.87
A
11734
D
Common Stock
2021-11-11
4
M
0
3587
40.60
A
15321
D
Common Stock
2021-11-11
4
S
0
4565
314.96
D
10756
D
Stock Option (Right to Buy)
28.87
2021-11-11
4
M
0
5235
0
D
2017-04-30
2026-05-11
Common Stock
5235
0
D
Stock Option (Right to Buy)
40.60
2021-11-11
4
M
0
3587
0
D
2018-04-30
2027-05-17
Common Stock
3587
0
D
The price reported represents the weighted average sale price of the shares sold. The shares were sold at varying prices in the range of $314.59 to $315.225. The Reporting Person hereby undertakes, upon request of the Staff of the U.S. Securities Exchange Commission, the Issuer or a security holder of the Issuer, to provide full information regarding the number of shares sold at each separate price.
/s/ John W. Kapples, attorney-in-fact
2021-11-12