InfuSystem Holdings, Inc — Director's Dealing 2014

Oct 23, 2014

SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: InfuSystem Holdings, Inc (INFU)
CIK: 0001337013
Period of Report: 2014-10-15

Reporting Person: Morris Ryan J. (Director)

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2014-10-15	Common Stock	M	60000	$1.52	Acquired	124555	Direct
2014-10-15	Common Stock	F	39061	$3.494	Disposed	85494	Direct

Derivative Transactions

Date	Security	Exercise Price	Code	Shares	A/D	Expiration	Underlying	Ownership
2014-04-18	Stock option (right to buy)	$1.52	M	60000	Acquired	2015-08-29	Common Stock (60000)	Direct

Holdings (Non-Derivative)

Security	Shares	Ownership
Common Stock	535626	Indirect

Holdings (Derivative)

Security	Exercise Price	Expiration	Underlying	Shares	Ownership
Stock option (right to buy)	$3.10	2018-05-08	Common Stock (60000)	60000	Direct

Footnotes

F1: As an entity managed by Mr. Morris, Meson Capital Partners LLC ("Meson LLC") 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) the shares held by Mr. Morris. Meson LLC disclaims beneficial ownership of such shares.

F2: Reflects the number of shares surrendered in connection with the cashless exercise of the option and tax withholding obligations for the exercised option.

F3: Shares beneficially owned by Meson Capital Partners LP ("Meson LP"). As the general partner of Meson LP, Meson LLC 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) the Meson LP shares. Meson LLC does not own any shares of Common Stock directly and disclaims beneficial ownership of the Meson LP shares. As managing member of Meson LLC, Mr. Morris 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 Meson LLC. Mr. Morris disclaims beneficial ownership of any shares of Common Stock beneficially owned by Meson LLC.

F4: The option, representing the right to purchase a total of 60,000 shares, became exercisable in twelve equal monthly installments following the August 29, 2013 date of grant.

F5: As an entity which is managed by Mr. Morris, Meson LLC may be deemed to have the shared power to dispose or direct the disposition of stock options owned by Mr. Morris. Meson LLC disclaims beneficial ownership of such stock options.

F6: The option, representing the right to purchase a total of 60,000 shares, vests in twelve equal monthly installments beginning June 8, 2014 and immediately upon a change in control.