InfuSystem Holdings, Inc — Director's Dealing 2019

Apr 1, 2019

SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: InfuSystem Holdings, Inc (INFU)
CIK: 0001337013
Period of Report: 2019-03-28

Reporting Person: RUIZ THOMAS MARK (VP OF SALES AND MARKETING)

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2019-03-28	Common Stock	M	2083	—	Acquired	7420	Direct
2019-03-28	Common Stock	F	584	$4.14	Disposed	6836	Direct

Derivative Transactions

Date	Security	Exercise Price	Code	Shares	A/D	Expiration	Underlying	Ownership
2019-03-28	Restricted Stock Units	$	M	2083	Disposed		Common Stock (2083)	Direct

Footnotes

F1: Represents the acquisition of the Issuer's common stock by reporting person pursuant to the vesting and settlement of a one remaining portion of the restricted stock units (RSUs) granted on March 11, 2015. Restricted stock units convert into common stock on a one-for-one basis.

F2: Represents the withholding of the Issuer's common stock for the tax liability associated with the vesting and settlement of one remaining portion of the restricted stock units (RSUs) granted on March 11, 2015.