InfuSystem Holdings, Inc — Director's Dealing 2011

Dec 7, 2011

SEC Form 3 — Initial Statement of Beneficial Ownership

Issuer: InfuSystem Holdings, Inc (INFU)
CIK: 0001337013
Period of Report: 2011-11-29

Reporting Person: Boston Avenue Capital LLC (Member of 10% owner group)
Reporting Person: Adelson James F (Member of 10% owner group)
Reporting Person: Gillman Charles M (Member of 10% owner group)
Reporting Person: Heyman Stephen J (Member of 10% owner group)

Holdings (Non-Derivative)

Security	Shares	Ownership
Common Stock	82327	Direct

Footnotes

F1: Boston Avenue Capital LLC ("BAC") beneficially owns and has voting and dispositive power over the reported Common Stock. As the managers of BAC, Messrs. Heyman and Adelson may be deemed to have the shared power to vote or direct the vote of (and the shared power to dispose or direct the disposition of) any shares of Common Stock beneficially owned by BAC. Neither Messrs. Heyman nor Adelson hold any shares of Common Stock directly, and each disclaims beneficial ownership of any shares of Common Stock beneficially owned by BAC. As the portfolio manager of BAC, Mr. Gillman may be deemed to have the shared power to vote or direct the vote of (and the shared power to dispose or direct the disposition of) any shares of Common Stock beneficially owned by BAC. Mr. Gillman does not own any shares of Common Stock directly, and disclaims beneficial ownership of any shares of Common Stock beneficially owned by BAC.

F2: On December 6, 2011, BAC, Messrs. Heyman, Adelson and Gilman (collectively, the "Reporting Persons"), and certain other persons made a joint filing on Schedule 13D with the Securities and Exchange Commission, under Section 13(d) of the Securities Exchange Act of 1934, as amended, and therefore may be deemed to beneficially own Common Stock beneficially owned by the other persons in such joint filing. The Reporting Persons disclaim beneficial ownership of and any pecuniary interest in any shares of Common Stock beneficially owned by such other persons.

F3: This Form 3 filing shall not be deemed an admission that any Reporting Person is a beneficial owner of any shares of Common Stock for any purpose, other than the Common Stock reported in Table I, or that any Reporting Person is a member of a "group." This Form 3 does not reflect Common Stock owned by any person other than the Reporting Persons.