0001127602-23-017512.txt : 20230602 0001127602-23-017512.hdr.sgml : 20230602 20230602160557 ACCESSION NUMBER: 0001127602-23-017512 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230601 FILED AS OF DATE: 20230602 DATE AS OF CHANGE: 20230602 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Petrovic Shacey CENTRAL INDEX KEY: 0001631895 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33462 FILM NUMBER: 23988676 MAIL ADDRESS: STREET 1: 600 TECHNOLOGY PARK DRIVE STREET 2: SUITE 200 CITY: BILLERICA STATE: MA ZIP: 01821 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 X0407 4 2023-06-01 0001145197 INSULET CORP PODD 0001631895 Petrovic Shacey C/O INSULET CORPORATION 100 NAGOG PARK ACTON MA 01720 1 1 Common Stock 2023-06-01 4 S 0 15000 271.56 D 43205 I By NG Trust Common Stock 2567 D Common Stock 12925 I By SP Trust The transaction reported in this Form 4 were effected pursuant to an existing Rule 10b5-1 trading plan. The price reported represents the weighted average sale price of the shares sold. The shares were sold at varying prices in the range of $270.10 to $274.48. Specifically: 4,943 shares were sold in the range of $270.10 to $270.99, with a weighted average share price of $270.60; 4,511 shares were sold in the range of $271 to $271.88, with a weighted average share price of $271.36; Footnote continued: 4,918 shares were sold in the range of $272.01 to $272.99, with a weighted average share price of $272.46; 500 shares were sold in the range of $273.16 to $273.69, with a weighted average share price of $273.36; and 128 shares were sold at a price of $274.48. 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/ Patricia K. Dolan, attorney-in-fact 2023-06-02