Accession Number: | 0001127602-21-021212 |
Date: | 2021-05-14 |
Issuer: | INSULET CORP (PODD) |
Original Submission Date: |
PETROVIC SHACEY
C/O INSULET CORPORATION
100 NAGOG PARK
ACTON, MA 01720
Title of Security | Transaction Date | 2a. Deemed Execution Date | Transaction Code | Shares | Acquired or Disposed | Price per share | 5. Amount of Securities Beneficially Owned Following Reported Transaction | 6. Ownership Form Direct or Indirect | Nature of Indirect Ownership |
---|---|---|---|---|---|---|---|---|---|
COMMON STOCK | 2021-05-14 | G | 25,905 | d | $0.00 | 15,684 | direct | ||
COMMON STOCK | 2021-05-14 | G | 25,905 | a | $0.00 | 25,905 | indirect | ||
COMMON STOCK | 2021-07-01 | M | 15,000 | a | $30.58 | 30,779 | direct | ||
COMMON STOCK | 2021-07-01 | S | 15,000 | d | $278.56 | 15,779 | direct | ||
COMMON STOCK | 2021-05-14 | 0 | $0.00 | 87,495 | indirect |
Title of Derivative Security | Conversion or Exercise Price of Derivative Security | Transaction Date | Deemed Execution Date | Transaction Code | Number of Derivative Securities Acquired (A) or Disposed of (D) | Date Exercisable | Expiration Date | Title and Amount of Securities Underlying Derivative Security | Price of Derivative Security | Number of derivative Securities Beneficially Owned Following Reported Transaction(s) | Ownership Form: Direct (D) or Indirect (I) | Nature of Indirect Beneficial Ownership |
---|---|---|---|---|---|---|---|---|---|---|---|---|
EMPLOYEE STOCK OPTION (RIGHT TO BUY) | 30.58 | 2021-07-01 | deemed execution date | M | 15,000 (d) | 2025-02-09 | common stock 15,000 | $30.58 | 7,436 | direct |
ID | footnote |
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f1 | on may 14, 2021, the reporting person gifted 25,905 shares of insulet common stock to a family trust of which the reporting person is the settlor and a trustee. the beneficiaries of the trust are members of the reporting person's immediate family. |
f2 | the transactions reported in this form 4 were effected pursuant to an existing rule 10b5-1 trading plan. |
f3 | includes 95 shares acquired under the insulet corporation employee stock purchase plan on may 28, 2021. |
f4 | the price reported represents the weighted average sale price of the shares sold. the shares were sold at varying prices in the range of $274.695 to $280.55. the reporting person hereby undertakes, upon request of the staff of the u.s. securities exchange commission, the issuer or a security holder of the issuer, to provide full information regarding the number of shares sold at each separate price. |
f5 | this option is subject to a four-year vesting period, with 25% of the total award vesting one year after the grant date and the remainder vesting in equal quarterly installments each quarter thereafter for 12 quarters, subject to continued employment. |