InfuSystem Holdings, Inc — Director's Dealing 2018

Oct 17, 2018

SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: InfuSystem Holdings, Inc (INFU)
CIK: 0001337013
Period of Report: 2018-10-15

Reporting Person: DREYER DAVID C (Director)

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2018-10-15	Common Stock	M	25000	$2.39	Acquired	25000	Direct
2018-10-15	Common Stock	F	20538	$3.24	Disposed	4462	Direct
2018-10-15	Common Stock	M	20833	$1.98	Acquired	25295	Direct
2018-10-15	Common Stock	F	15330	$3.24	Disposed	9965	Direct

Derivative Transactions

Date	Security	Exercise Price	Code	Shares	A/D	Expiration	Underlying	Ownership
2018-10-15	Stock Option (Right to Buy)	$2.39	M	25000	Disposed	2018-10-19	Common Stock (25000)	Direct
2018-10-15	Stock Option (Right to Buy)	$1.98	M	20833	Disposed	2018-10-19	Common Stock (20833)	Direct

Footnotes

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

F2: The option, representing the right to purchase a total of 25,000 shares, became exercisable in twelve equal monthly installments following the January 18, 2017 date of grant.

F3: The reporting person ceased to be a Director of the Company on July 19, 2018. The option expires three months after the date Optionee ceased to be a Director of the Company.

F4: The option, representing the right to purchase a total of 20,833 shares, became exercisable in ten equal monthly installments following the September 17, 2017 date of grant. All vesting ceased upon termination of the reporting person's service as a Director of the Company on July 19, 2018.