SEC Form 3

FORM 3

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940

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1. Name and Address of Reporting Person* Boston Avenue Capital LLC (Last) (First) (Middle) 15 EAST 5TH STREET, SUITE 3200 (Street) TULSA OK 74103 (City) (State) (Zip)	2. Date of Event Requiring Statement (Month/Day/Year) 11/29/2011	3. Issuer Name and Ticker or Trading Symbol InfuSystem Holdings, Inc [ INFU ]
		4. Relationship of Reporting Person(s) to Issuer (Check all applicable) Director 10% Owner Officer (give title below) X Other (specify below) Member of 10% owner group	5. If Amendment, Date of Original Filed (Month/Day/Year)
			6. Individual or Joint/Group Filing (Check Applicable Line) Form filed by One Reporting Person X Form filed by More than One Reporting Person

Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4)	2. Amount of Securities Beneficially Owned (Instr. 4)	3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock	82,327	D(1)(2)(3)

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4)	2. Date Exercisable and Expiration Date (Month/Day/Year)		3. Title and Amount of Securities Underlying Derivative Security (Instr. 4)		4. Conversion or Exercise Price of Derivative Security	5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
	Date Exercisable	Expiration Date	Title	Amount or Number of Shares

1. Name and Address of Reporting Person* Boston Avenue Capital LLC (Last) (First) (Middle) 15 EAST 5TH STREET, SUITE 3200 (Street) TULSA OK 74103 (City) (State) (Zip) Relationship of Reporting Person(s) to Issuer Director 10% Owner Officer (give title below) X Other (specify below) Member of 10% owner group

1. Name and Address of Reporting Person* Adelson James F (Last) (First) (Middle) 15 EAST 5TH STREET, SUITE 3200 (Street) TULSA OK 74103 (City) (State) (Zip) Relationship of Reporting Person(s) to Issuer Director 10% Owner Officer (give title below) X Other (specify below) Member of 10% owner group

1. Name and Address of Reporting Person* Gillman Charles M (Last) (First) (Middle) 15 EAST 5TH STREET, SUITE 3200 (Street) TULSA OK 74103 (City) (State) (Zip) Relationship of Reporting Person(s) to Issuer Director 10% Owner Officer (give title below) X Other (specify below) Member of 10% owner group

1. Name and Address of Reporting Person* Heyman Stephen J (Last) (First) (Middle) 15 EAST 5TH STREET, SUITE 3200 (Street) TULSA OK 74103 (City) (State) (Zip) Relationship of Reporting Person(s) to Issuer Director 10% Owner Officer (give title below) X Other (specify below) Member of 10% owner group

Explanation of Responses:

1. Boston Avenue Capital LLC ("BAC") beneficially owns and has voting and dispositive power over the reported Common Stock. As the managers of BAC, Messrs. Heyman and Adelson may be deemed to have the shared power to vote or direct the vote of (and the shared power to dispose or direct the disposition of) any shares of Common Stock beneficially owned by BAC. Neither Messrs. Heyman nor Adelson hold any shares of Common Stock directly, and each disclaims beneficial ownership of any shares of Common Stock beneficially owned by BAC. As the portfolio manager of BAC, Mr. Gillman may be deemed to have the shared power to vote or direct the vote of (and the shared power to dispose or direct the disposition of) any shares of Common Stock beneficially owned by BAC. Mr. Gillman does not own any shares of Common Stock directly, and disclaims beneficial ownership of any shares of Common Stock beneficially owned by BAC.

2. On December 6, 2011, BAC, Messrs. Heyman, Adelson and Gilman (collectively, the "Reporting Persons"), and certain other persons made a joint filing on Schedule 13D with the Securities and Exchange Commission, under Section 13(d) of the Securities Exchange Act of 1934, as amended, and therefore may be deemed to beneficially own Common Stock beneficially owned by the other persons in such joint filing. The Reporting Persons disclaim beneficial ownership of and any pecuniary interest in any shares of Common Stock beneficially owned by such other persons.

3. This Form 3 filing shall not be deemed an admission that any Reporting Person is a beneficial owner of any shares of Common Stock for any purpose, other than the Common Stock reported in Table I, or that any Reporting Person is a member of a "group." This Form 3 does not reflect Common Stock owned by any person other than the Reporting Persons.

Remarks:

Exhibits: Exhibit 24.1, Power of Attorney for Boston Avenue Capital LLC; Exhibit 24.2, Power of Attorney for James F. Adelson; Exhibit 24.3, Power of Attorney for Charles M. Gillman; Exhibit 24.4, Power of Attorney for Stephen J. Heyman.

	/s/ Paula L. Skidmore, Attorney-in-Fact for each of the Reporting Persons	12/07/2011
	** Signature of Reporting Person	Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
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