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