0001127602-21-006726.txt : 20210219 0001127602-21-006726.hdr.sgml : 20210219 20210219161240 ACCESSION NUMBER: 0001127602-21-006726 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210217 FILED AS OF DATE: 20210219 DATE AS OF CHANGE: 20210219 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Budden Lauren CENTRAL INDEX KEY: 0001774891 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33462 FILM NUMBER: 21655700 MAIL ADDRESS: STREET 1: C/O INSULET CORPORATION STREET 2: 100 NAGOG PARK CITY: ACTON STATE: MA ZIP: 01720 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 2021-02-17 0001145197 INSULET CORP PODD 0001774891 Budden Lauren C/O INSULET CORPORATION 100 NAGOG PARK ACTON MA 01720 1 VP, CAO and Controller Common Stock 2021-02-17 4 A 0 245 0 A 4104 D Employee Stock Option (Right to Buy) 279.69 2021-02-17 4 A 0 715 0 A 2031-02-17 Common Stock 715 715 D Annual Restricted Stock Unit ("RSU") award. RSUs vest in equal installments on each of the first, second and third anniversaries of the grant date and are settled in shares of common stock on a one-for-one basis. Annual Non-Qualified Stock Option ("Option") Award. The Options become exercisable in substantially equal installments on each of the first, second, third and fourth anniversaries of the grant date. /s/ John W. Kapples, attorney-in-fact 2021-02-19