InfuSystem Holdings, Inc — Director's Dealing 2014

Apr 8, 2014

SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: InfuSystem Holdings, Inc (INFU)
CIK: 0001337013
Period of Report: 2013-08-29

Reporting Person: DREYER DAVID C (Director)

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2014-04-05	Common Stock	M	100000	$2.25	Acquired	215000	Direct
2014-04-05	Common Stock	F	87503	$2.754	Disposed	127497	Direct

Derivative Transactions

Date	Security	Exercise Price	Code	Shares	A/D	Expiration	Underlying	Ownership
2013-08-29	Stock Option (Right to Buy)	$2.25	A	25000	Acquired	2015-08-29	Common Stock (25000)	Direct
2014-04-05	Stock Option (Right to Buy)	$2.25	M	100000	Disposed	2014-04-24	Common Stock (100000)	Direct

Footnotes

F1: Reflects the number of shares surrendered in connection with the cashless exercise of the option and tax withholding obligations for the exercised option.

F2: The option, representing the right to purchase a total of 100,000 shares, became exercisable in twelve equal monthly installments following the April 24, 2012 date of grant.

F3: The option, representing the right to purchase a total of 25,000 shares, becomes exercisable in twelve equal monthly installments following the August 29, 2013 date of grant.