0001014108-21-000085.txt : 20210324
0001014108-21-000085.hdr.sgml : 20210324
20210324211401
ACCESSION NUMBER: 0001014108-21-000085
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210322
FILED AS OF DATE: 20210324
DATE AS OF CHANGE: 20210324
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Lehman Gregg Owen
CENTRAL INDEX KEY: 0001376620
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35020
FILM NUMBER: 21769891
MAIL ADDRESS:
STREET 1: 309 HADDON COURT
CITY: FRANKLIN
STATE: X1
ZIP: 37067
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
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2021-03-22
0
0001337013
InfuSystem Holdings, Inc
INFU
0001376620
Lehman Gregg Owen
3851 WEST HAMLIN ROAD
ROCHESTER HILLS
MI
48309
1
0
0
0
Common Stock
2021-03-22
4
M
0
21179
2.39
A
21525
D
Common Stock
2021-03-22
4
S
0
21179
22.04
D
346
D
Common Stock
2021-03-23
4
M
0
9708
2.39
A
10054
D
Common Stock
2021-03-23
4
S
0
9708
21.2
D
346
D
Common Stock
2021-03-24
4
M
0
19113
2.39
A
19459
D
Common Stock
2021-03-24
4
S
0
19113
20.74
D
346
D
Stock Option (right to buy)
2.39
2021-03-22
4
M
0
21179
0
D
2017-02-18
2027-01-18
Common Stock
21179
38821
D
Stock Option (right to buy)
2.39
2021-03-23
4
M
0
9708
0
D
2017-02-18
2027-01-18
Common Stock
9708
9708
D
Stock Option (right to buy)
2.39
2021-03-24
4
M
0
19113
0
A
2017-02-18
2027-01-18
Common Stock
19113
10000
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.
/s/Kevin Whitman, Attorney-in-Fact for Gregg O. Lehman
2021-03-24