InfuSystem Holdings, Inc — Director's Dealing 2021

May 21, 2021

SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: InfuSystem Holdings, Inc (INFU)
CIK: 0001337013
Period of Report: 2021-05-18

Reporting Person: Dilorio Richard (Director, Chief Executive Officer)

Derivative Transactions

Date	Security	Exercise Price	Code	Shares	A/D	Expiration	Underlying	Ownership
2021-05-18	Stock Option (right to buy)	$19.5	A	20678	Acquired	2031-05-18	Common Stock (20678)	Direct
2021-05-18	Restricted Stock Units	$	A	14103	Acquired		Common Stock (14103)	Direct
2021-05-18	Restricted Stock Units	$	A	2821	Acquired		Common Stock (2821)	Direct

Footnotes

F1: The option, representing the right to purchase a total of 20,678 shares of InfuSystem Holdings, Inc. common stock, vests in three equal annual installments beginning May 18, 2022.

F2: Restricted stock units convert into common stock on a one-for-one basis.

F3: These restricted stock units will cliff vest on May 18, 2024.

F4: These restricted stock units will cliff vest on May 18, 2022.