X0306 4 2018-08-23 0 0001337013 InfuSystem Holdings, Inc INFU 0001486636 Shuda Scott 31700 RESEARCH PARK DRIVE MADISON HEIGHTS MI 48071 1 0 0 0 Common Stock 0 D Common Stock 3346834 I See footnote Stock Option (right to buy) 3.18 2018-08-23 4 A 0 25000 0 A 2023-08-23 Common Stock 25000 25000 D Mr. Shuda serves as the Managing Director of (i) TSV Investment Partners, LLC ("TSV"), which is the sole general partner of Meridian OHC Partners, LP ("Meridian") and (ii) BlueLine Partners, LLC, which is the sole general partner of BlueLine Capital Partners II, LP ("BlueLine"), which together are the Company's largest stockholder. Accordingly, Mr. Shuda holds voting and dispositive power over the Common Stock held by Meridian and BlueLine. Mr. Shuda disclaims beneficial ownership for purposes of Rule 13d-3 with respect to the Common Stock held by Meridian and BlueLine. The option, representing the right to purchase a total of 25,000 shares of InfuSystem Holdings, Inc. common stock, vests in twelve monthly installments beginning on September 23, 2018. /s/Scott Shuda 2018-08-27