0001445866-20-001428.txt : 20200930
0001445866-20-001428.hdr.sgml : 20200930
20200930180443
ACCESSION NUMBER: 0001445866-20-001428
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200928
FILED AS OF DATE: 20200930
DATE AS OF CHANGE: 20200930
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Meridian OHC Partners, LP
CENTRAL INDEX KEY: 0001601397
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35020
FILM NUMBER: 201213614
BUSINESS ADDRESS:
STREET 1: 405 WEED STREET
CITY: NEW CANAAN
STATE: CT
ZIP: 06840
BUSINESS PHONE: 203-643-9300
MAIL ADDRESS:
STREET 1: 405 WEED STREET
CITY: NEW CANAAN
STATE: CT
ZIP: 06840
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Meridian OHC LLC
CENTRAL INDEX KEY: 0001601538
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35020
FILM NUMBER: 201213615
BUSINESS ADDRESS:
STREET 1: 405 WEED STREET
CITY: NEW CANAAN
STATE: CT
ZIP: 06840
BUSINESS PHONE: 203-643-9300
MAIL ADDRESS:
STREET 1: 405 WEED STREET
CITY: NEW CANAAN
STATE: CT
ZIP: 06840
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Meridian TSV II, LP
CENTRAL INDEX KEY: 0001601536
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35020
FILM NUMBER: 201213616
BUSINESS ADDRESS:
STREET 1: 405 WEED STREET
CITY: NEW CANAAN
STATE: CT
ZIP: 06840
BUSINESS PHONE: 203-643-9300
MAIL ADDRESS:
STREET 1: 405 WEED STREET
CITY: NEW CANAAN
STATE: CT
ZIP: 06840
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: TSV Investment Partners, LLC
CENTRAL INDEX KEY: 0001603326
STATE OF INCORPORATION: CT
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35020
FILM NUMBER: 201213617
BUSINESS ADDRESS:
STREET 1: 405 WEED STREET
CITY: NEW CANAAN
STATE: CT
ZIP: 06840
BUSINESS PHONE: 203-643-9300
MAIL ADDRESS:
STREET 1: 405 WEED STREET
CITY: NEW CANAAN
STATE: CT
ZIP: 06840
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BlueLine Capital Partners II, L.P.
CENTRAL INDEX KEY: 0001460781
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35020
FILM NUMBER: 201213618
BUSINESS ADDRESS:
STREET 1: 3480 BUSKIRK AVENUE
STREET 2: SUITE 214
CITY: PLEASANT HILL
STATE: CA
ZIP: 94523
BUSINESS PHONE: 925-236-9790
MAIL ADDRESS:
STREET 1: 3480 BUSKIRK AVENUE
STREET 2: SUITE 214
CITY: PLEASANT HILL
STATE: CA
ZIP: 94523
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BlueLine Partners, L.L.C.
CENTRAL INDEX KEY: 0001311443
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35020
FILM NUMBER: 201213619
BUSINESS ADDRESS:
STREET 1: 3480 BUSKIRK AVENUE
STREET 2: SUITE 214
CITY: PLEASANT HILL
STATE: CA
ZIP: 94523
BUSINESS PHONE: 925-648-2085
MAIL ADDRESS:
STREET 1: 3480 BUSKIRK AVENUE
STREET 2: SUITE 214
CITY: PLEASANT HILL
STATE: CA
ZIP: 94523
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: 31700 RESEARCH PARK DRIVE
CITY: MADISON HEIGHTS
STATE: MI
ZIP: 48071
BUSINESS PHONE: (248) 291-1210
MAIL ADDRESS:
STREET 1: 31700 RESEARCH PARK DRIVE
CITY: MADISON HEIGHTS
STATE: MI
ZIP: 48071
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
form4.xml
PRIMARY DOCUMENT
X0306
4
2020-09-28
0
0001337013
InfuSystem Holdings, Inc
INFU
0001601397
Meridian OHC Partners, LP
425 WEED STREET
NEW CANAAN
CT
06840
1
0
1
0
0001601538
Meridian OHC LLC
425 WEED STREET
NEW CANAAN
CT
06840
0
0
1
0
0001601536
Meridian TSV II, LP
425 WEED STREET
NEW CANAAN
CT
06840
0
0
1
0
0001603326
TSV Investment Partners, LLC
425 WEED STREET
NEW CANAAN
CT
06840
0
0
1
0
0001460781
BlueLine Capital Partners II, L.P.
3480 BUSKIRK AVENUE
SUITE 214
PLEASANT HILL
CA
94523
0
0
1
0
0001311443
BlueLine Partners, L.L.C.
3480 BUSKIRK AVENUE
SUITE 214
PLEASANT HILL
CA
94523
0
0
1
0
Common Stock
2020-09-28
4
S
0
37300.0000
13.9300
D
2785787.0000
D
Common Stock
2020-09-29
4
S
0
45604.0000
13.8900
D
2740183.0000
D
These securities were owned by Meridian OHC Partners, LP. The shares reported in Column 4 were sold in multiple transactions and the price reported is the weighted-average price for the day. The reporting persons undertake to provide to InfuSystem Holdings, Inc., any security holder of InfuSystem Holdings, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares purchased at each separate price.
/s/ Scott Shuda
2020-09-30