InfuSystem Holdings, Inc — Director's Dealing 2015

Aug 28, 2015

SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: InfuSystem Holdings, Inc (INFU)
CIK: 0001337013
Period of Report: 2015-08-25

Reporting Person: Yetter Wayne P. (Director)

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2015-08-25	Common Stock	M	25000	$1.52	Acquired	407470	Direct
2015-08-25	Common Stock	F	16881	$2.87	Disposed	390589	Direct

Derivative Transactions

Date	Security	Exercise Price	Code	Shares	A/D	Expiration	Underlying	Ownership
2015-08-25	Stock option (right to buy)	$1.52	M	25000	Disposed	2015-08-28	Common Stock (25000)	Direct

Footnotes

F1: Reflects the number of shares surrendered in connection with the cashless exercise of the option.

F2: The option, representing the right to purchase a total of 25,000 shares, became exercisable in twelve equal monthly installments beginning August 29, 2013 and immediately upon a change in control.