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InfuSystem Holdings, Inc Director's Dealing 2017

May 18, 2017

33639_dirs_2017-05-18_e150ad6b-3a97-45a0-aa9e-cad05bd4ca85.zip

Director's Dealing

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SEC Form 3 — Initial Statement of Beneficial Ownership

Issuer: InfuSystem Holdings, Inc (INFU)
CIK: 0001337013
Period of Report: 2016-12-01

Reporting Person: Dilorio Richard (Executive Vice President)

Holdings (Non-Derivative)

Security Shares Ownership
Common Stock 54784 Direct

Holdings (Derivative)

Security Exercise Price Expiration Underlying Shares Ownership
Stock Option (right to buy) $2.69 2024-07-14 Common Stock (50000) Direct
Stock Option (right to buy) $2.6 2025-03-11 Common Stock (25000) Direct
Stock Option (right to buy) $2.76 2026-08-16 Common Stock (40000) Direct

Footnotes

F1: The option, representing the right to purchase a total of 50,000 shares of InfuSystem Holdings, Inc. common stock, vests in thirty-six monthly installments beginning August 14, 2014.

F2: The option, representing the right to purchase a total of 25,000 shares of InfuSystem Holdings, Inc. common stock, vests in forty-eight monthly installments beginning April 11, 2015.

F3: The option, representing the right to purchase a total of 40,000 shares of InfuSystem Holdings, Inc. common stock, vests in thirty-six monthly installments beginning Sept. 16, 2016.