InfuSystem Holdings, Inc — Director's Dealing 2013

Apr 1, 2013

SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: InfuSystem Holdings, Inc (INFU)
CIK: 0001337013
Period of Report: 2013-04-01

Reporting Person: Steen Eric K (Director, Chief Executive Officer)

Derivative Transactions

Date	Security	Exercise Price	Code	Shares	A/D	Expiration	Underlying	Ownership
2013-04-01	Inducement Stock Option (right to buy)	$1.75	A	300000	Acquired	2023-04-01	Common Stock (300000)	Direct
2013-04-01	Inducement Stock Option (right to buy)	$2.75	A	400000	Acquired	2023-04-01	Common Stock (400000)	Direct

Footnotes

F1: The options vest in accordance with the terms of the Inducement Stock Option Agreement by and between InfuSystem Holdings, Inc. and Eric K. Steen, dated as of April 1, 2013 (the "Inducement Stock Option Agreement"). The options will vest over a four year period, with 25% vesting on the first anniversary of the grant date, and the remaining 75% vesting ratably over the next 36 months.

F2: Mr. Steen was awarded the options in connection with his appointment as the new Chief Executive Officer.