0001127602-19-014244.txt : 20190402 0001127602-19-014244.hdr.sgml : 20190402 20190402172318 ACCESSION NUMBER: 0001127602-19-014244 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190401 FILED AS OF DATE: 20190402 DATE AS OF CHANGE: 20190402 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: 19726495 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 2019-04-01 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 2019-04-01 4 A 0 9825 0 A 9825 D Employee Stock Option (Right to Buy) 95.43 2019-04-01 4 A 0 5278 0 A 2029-04-01 Common Stock 5278 5278 D The 9,825 restricted stock units granted on April 1, 2019 vest as to one-third of the total award on April 1, 2020, one-third of the total award on April 1, 2021 and one-third of the total award on April 1, 2022, subject to continued employment. This option is subject to a four-year vesting period with 25% of the total award vesting on each of the first, second, third and fourth anniversaries of the grant date, subject to continued employment. /s/ John W. Kapples 2019-04-02