0001628280-23-030017.txt : 20230818
0001628280-23-030017.hdr.sgml : 20230818
20230818181144
ACCESSION NUMBER: 0001628280-23-030017
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230816
FILED AS OF DATE: 20230818
DATE AS OF CHANGE: 20230818
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Malhotra R. Rimmy
CENTRAL INDEX KEY: 0001442755
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35020
FILM NUMBER: 231186915
MAIL ADDRESS:
STREET 1: C/O COMMAND CENTER, INC.
STREET 2: 3609 S WADSWORTH BLVD., SUITE 250
CITY: LAKEWOOD
STATE: CO
ZIP: 80235
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: InfuSystem Holdings, Inc
CENTRAL INDEX KEY: 0001337013
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 203341405
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3851 WEST HAMLIN ROAD
CITY: ROCHESTER HILLS
STATE: MI
ZIP: 48309
BUSINESS PHONE: (248) 291-1210
MAIL ADDRESS:
STREET 1: 3851 WEST HAMLIN ROAD
CITY: ROCHESTER HILLS
STATE: MI
ZIP: 48309
FORMER COMPANY:
FORMER CONFORMED NAME: HAPC, Inc.
DATE OF NAME CHANGE: 20060425
FORMER COMPANY:
FORMER CONFORMED NAME: Healthcare Acquisition Partners Corp.
DATE OF NAME CHANGE: 20050824
4
1
wf-form4_169239669161317.xml
FORM 4
X0508
4
2023-08-16
0
0001337013
InfuSystem Holdings, Inc
INFU
0001442755
Malhotra R. Rimmy
C/O INFUSYSTEM HOLDINGS, INC.
3851 WEST HAMLIN ROAD
ROCHESTER HILLS
MI
48309
1
0
0
0
0
Common Stock
2023-08-16
4
S
0
10000
10.7321
D
160416
I
See FN
Common Stock
2023-08-17
4
S
0
15560
10.6137
D
144856
I
See FN
Common Stock
2023-08-18
4
S
0
19856
10.6563
D
125000
I
See FN
Common Stock
23225
D
The price reported in Column 4 is a weighted average price. These shares reported herein were sold in multiple transactions. The reporting person undertakes to provide to the Issuer, and security holder of the Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price.
Represents shares directly owned by Nicoya Fund, LLC, a Delaware limited liability company. Mr. Malhotra is managing member of Nicoya Capital, LLC, which is the managing member of Nicoya Fund, LLC. Mr. Malhotra disclaims beneficial ownership of such shares except to the extent of his pecuniary interest therein.
/s/ Kevin Whitman, Attorney-in-Fact for R. Rimmy Malhotra
2023-08-18