0001127602-23-020531.txt : 20230710 0001127602-23-020531.hdr.sgml : 20230710 20230710160250 ACCESSION NUMBER: 0001127602-23-020531 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20230701 FILED AS OF DATE: 20230710 DATE AS OF CHANGE: 20230710 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Field Mark N CENTRAL INDEX KEY: 0001981354 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33462 FILM NUMBER: 231079760 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 3 1 form3.xml PRIMARY DOCUMENT X0206 3 2023-07-01 0 0001145197 INSULET CORP PODD 0001981354 Field Mark N C/O INSULET CORPORATION 100 NAGOG PARK ACTON MA 01720 1 SVP & Chief Technology Officer Common Stock 12164 D Stock Option (Right to Buy) 202.64 2030-02-10 Common Stock 1483 D Stock Option (Right to Buy) 279.69 2031-02-17 Common Stock 1301 D Stock Option (Right to Buy) 264.69 2032-02-28 Common Stock 2275 D Stock Option (Right to Buy) 276.36 2033-02-28 Common Stock 1983 D Stock Option (Right to Buy) 109.32 2029-07-03 Common Stock 2457 D Includes restricted stock units which are settled in shares of common stock on a one-for-one basis upon vesting. 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/ Patricia K. Dolan, attorney-in-fact 2023-07-10 EX-24 2 doc1.txt POWER OF ATTORNEY (PUBLIC): POA POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS, that the undersigned hereby constitutes and appoints John W. Kapples, Wayde D. McMillan and Patricia K. Dolan, and each of them acting singly, the true and lawful attorneys-in-fact and agents, with full power of substitution and resubstitution, for the undersigned and in the undersigned's name, place and stead, in any and all capacities (until revoked in writing) to execute for and on behalf of the undersigned, in any and all of the undersigned's capacities, a Form ID - Uniform Application for Access Codes to file on Edgar and any and all statements on Forms 3, 4 and 5 with respect to the undersigned's holdings of and transactions in securities issued by Insulet Corporation (the "Company") in accordance with Sections 16(a) of the Securities Exchange Act of 1934, as amended (the "Exchange Act"), and any and all regulations promulgated thereunder, and to file the same, with all exhibits thereto, and any other documents in connection therewith, with the Securities and Exchange Commission, and with any other entity when and if such is mandated by the Exchange Act or by the By-laws of the National Association of Securities Dealers, granting unto said attorneys-in-fact and agents full power and authority to do and perform each and every act and thing requisite and necessary fully to all intents and purposes as the undersigned might or could do in person thereby ratifying and confirming all that said attorneys-in-fact and agents, or their substitute or substitutes, may lawfully do or cause to be done by virtue hereof. This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4 and 5 with respect to the undersigned's holdings of and transactions in securities issued by the Company, unless earlier revoked by the undersigned in a signed writing delivered to the foregoing attorneys-in-fact. IN WITNESS WHEREOF, this Power of Attorney has been signed as of 5 June, 2023. Signature: /s/ Mark Field Print Name: Mark Field