InfuSystem Holdings, Inc — Director's Dealing 2017

May 5, 2017

SEC Form 3 — Initial Statement of Beneficial Ownership

Issuer: InfuSystem Holdings, Inc (INFU)
CIK: 0001337013
Period of Report: 2016-08-11

Reporting Person: Downs Christopher (CFO (interim))

Holdings (Non-Derivative)

Security	Shares	Ownership
Common Stock	20940	Direct

Holdings (Derivative)

Security	Exercise Price	Expiration	Underlying	Shares	Ownership
Stock Option (right to buy)	$1.93	2019-06-15	Common Stock (10000)		Direct
Stock Option (right to buy)	$2.69	2019-07-14	Common Stock (25000)		Direct
Stock Option (right to buy)	$2.6	2025-03-11	Common Stock (20000)		Direct

Footnotes

F1: The option, representing the right to purchase a total of 25,000 shares of InfuSystem Holdings, Inc. common stock, vests in 36-monthly installments beginning July 14, 2014.

F2: The option, representing the right to purchase a total of 20,000 shares of InfuSystem Holdings, Inc. common stock, vests in 36-monthly installments beginning March 11, 2015.