InfuSystem Holdings, Inc — Director's Dealing 2016

Aug 18, 2016

SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: InfuSystem Holdings, Inc (INFU)
CIK: 0001337013
Period of Report: 2016-08-18

Reporting Person: Skonieczny Janet (EVP & Chief Operating Officer)

Derivative Transactions

Date	Security	Exercise Price	Code	Shares	A/D	Expiration	Underlying	Ownership
2016-08-18	Stock Option (right to buy)	$2.77	A	60000	Acquired	2026-08-18	Common Stock (60000)	Direct

Footnotes

F1: The option, representing the right to purchase a total of 60,000 shares of InfuSystem Holdings, Inc. common stock, vests in thirty-six monthly installments beginning September 18, 2016.