0001437749-19-004760.txt : 20190313
0001437749-19-004760.hdr.sgml : 20190313
20190313141248
ACCESSION NUMBER: 0001437749-19-004760
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190311
FILED AS OF DATE: 20190313
DATE AS OF CHANGE: 20190313
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Dilorio Richard
CENTRAL INDEX KEY: 0001706994
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35020
FILM NUMBER: 19677942
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
FORM4
X0306
4
2019-03-11
0001337013
InfuSystem Holdings, Inc
INFU
0001706994
Dilorio Richard
31700 RESEARCH PARK DRIVE
MADISON HEIGHTS
MI
48071
1
1
President & CEO
Common Stock
2019-03-11
4
P
0
3900
4.22
A
92028
D
The price reported in Column 4 is a weighted average price. These shares reported herein were purchased in multiple transactions. The reporting person undertake to provide to the Issuer, any security holder of the Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares purchased at each separate price.
Includes 13,735 shares of the Issuer's common stock acquired by reporting person pursuant to the Issuer's Employee Stock Purchase Plan ("ESPP"). Such transaction is exempt under Rule 16(b)-3(c).
Includes 14,734 shares of the Issuer's common stock held by reporting person with the Issuer's transfer agent. Such common stock was not previously reported.
/s/ Richard DiIorio
2019-03-13