0001437749-18-016000.txt : 20180822
0001437749-18-016000.hdr.sgml : 20180822
20180822125347
ACCESSION NUMBER: 0001437749-18-016000
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180820
FILED AS OF DATE: 20180822
DATE AS OF CHANGE: 20180822
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Peele Ronald H. Jr.
CENTRAL INDEX KEY: 0001747991
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35020
FILM NUMBER: 181032060
MAIL ADDRESS:
STREET 1: 31700 RESEARCH PARK DRIVE
CITY: MADISON HEIGHTS
STATE: MI
ZIP: 48071
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
rdgdoc.xml
FORM 4
X0306
4
2018-08-20
0001337013
InfuSystem Holdings, Inc
INFU
0001747991
Peele Ronald H. Jr.
31700 RESEARCH PARK DRIVE
MADISON HEIGHTS
MI
48071
1
Common Stock
2018-08-20
4
P
0
3000
3.1846
A
3000
D
/s/ Ronald H. Peele Jr
2018-08-22