0001437749-19-010341.txt : 20190517 0001437749-19-010341.hdr.sgml : 20190517 20190517113806 ACCESSION NUMBER: 0001437749-19-010341 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190515 FILED AS OF DATE: 20190517 DATE AS OF CHANGE: 20190517 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Whitman Kevin CENTRAL INDEX KEY: 0001768114 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35020 FILM NUMBER: 19834749 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 2019-05-15 0001337013 InfuSystem Holdings, Inc INFU 0001768114 Whitman Kevin 31700 RESEARCH PARK DRIVE MADISON HEIGHTS MI 48071 1 VP and Controller Stock Option (Right to Buy) 4.70 2019-05-15 4 A 0 10000 0 A 2029-05-15 Common Stock 10000 10000 D Stock option vests 33% per year on anniversary date starting May 15, 2020. /s/ Kevin Whitman 2019-05-17