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INSULET CORP Director's Dealing 2012

Feb 21, 2012

30258_dirs_2012-02-21_ed9ba9c4-1fa7-477c-b097-59361b2df1c8.zip

Director's Dealing

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SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: INSULET CORP ("PODD")
CIK: 0001145197
Period of Report: 2012-02-16

Reporting Person: JAFFE ROSS A MD (Director)

Non-Derivative Transactions

Date Security Code Shares Price A/D Holdings After Ownership
2012-02-16 Common Stock S 598380 Disposed 1214893 Indirect
2012-02-16 Common Stock S 11707 Disposed 23768 Indirect
2012-02-16 Common Stock J 18520 Acquired 18520 Direct

Footnotes

F1: The Reporting Person is a managing member of Versant Ventures I, LLC ("VVI-LLC"), which is the general partner of each of Versant Side Fund I, L.P., Versant Venture Capital I, L.P., Versant Affiliates Fund I-A, L.P., and Versant Affiliates Fund I-B, L.P. (collectively, the "Versant Funds"). As such, the Reporting Person shares voting and investment power over the shares held by the Versant Funds and may be deemed to have indirect beneficial ownership of such shares. The Reporting Person disclaims beneficial ownership of such shares held by the Versant Funds, except to the extent of his proportionate pecuniary interest therein, if any.

F2: The shares are held by the Jaffe Family Trust dtd. 7/9/91 ("Jaffe Trust"). The shares were received in in-kind distributions of 17,349 shares from Versant Venture Capital I, L.P. and 1,171 shares by Versant Side Fund I, L.P. on February 16, 2012. The Reporting Person is a trustee and beneficiary of the Jaffe Trust.