InfuSystem Holdings, Inc — Director's Dealing 2012

Apr 26, 2012

SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: InfuSystem Holdings, Inc (INFU)
CIK: 0001337013
Period of Report: 2012-04-24

Reporting Person: SINGH DILIP (Director, Interim CEO)

Derivative Transactions

Date	Security	Exercise Price	Code	Shares	A/D	Expiration	Underlying	Ownership
2012-04-24	Option (right to buy)	$2.25	A	500000	Acquired	2015-04-24	Common Stock (500000)	Direct

Footnotes

F1: On April 24, 2012, the issuer granted the reporting person options to purchase 500,000 shares of common stock under the InfuSystem Holdings, Inc. 2007 Stock Incentive Plan in connection with his appointment as the Company's Interim CEO. The price represents the closing price of the issuer's common stock on the date of grant.

F2: The options vest ratably on the 24th day of each month for the next six months. The options will vest immediately upon a change of control or upon termination of Mr. Singh's employment for any reason other than for cause, or otherwise at the discretion of the Compensation Committee.