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Chupa Addam

Disclosed activity across 1 company

Tapewire entity
45942
SEC CIK
0001953233

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Reported relationships

Latest disclosed role at each company.

CompanyLast reported asReport datePublished
InfuSystem Holdings, IncINFU · Entity 6163Executive VP and CIOMay 16, 2026May 20, 2026

Disclosed balances

About these balances

Latest available filing per company, not a reconstructed current portfolio. Matching sequences show the last reported balance with all source rows expandable; grouping alone does not establish account ownership. Do not add unresolved positions together. Filings may omit unchanged positions, and amendments may correct only part of an older disclosure. Jointly reported shares are not necessarily this owner's personal holdings.

InfuSystem Holdings, Inc

Report date May 16, 2026 · Filed May 20, 2026

Security / awardOwnership accountDisclosed shares / unitsDisclosure context
Common StockSEC Table I · non-derivativeDirect51,585 Reported balance After 2026-05-16 transaction · row 2 Holding and transaction disclosures are not merged.
1 source row

Row 2 · 2026-05-16 · Exercise / conversion · Acquired 4,375 · Balance 51,585

Common StockSEC Table I · non-derivativeDirect49,983 Reported balance After 2026-05-16 transaction · row 3 Holding and transaction disclosures are not merged.
1 source row

Row 3 · 2026-05-16 · Tax withholding · Disposed 1,602 · Balance 49,983

F1: Represents the withholding of the Issuer's common stock for the tax liability associated with the vesting and settlement of the common stock issued on May 16, 2026

Common StockSEC Table I · non-derivativeDirect62,167 Reported balance After 2026-05-17 transaction · row 4 Holding and transaction disclosures are not merged.
1 source row

Row 4 · 2026-05-17 · Grant · Acquired 12,184 · Balance 62,167

F2: On May 17, 2026, 12,184 performance-based restricted stock units, granted on May 17, 2024, vested

Common StockSEC Table I · non-derivativeDirect57,707 Reported balance After 2026-05-17 transaction · row 5 Holding and transaction disclosures are not merged.
1 source row

Row 5 · 2026-05-17 · Tax withholding · Disposed 4,460 · Balance 57,707

F3: Represents the withholding of the Issuer's common stock for the tax liability associated with the vesting and settlement of the common stock issued on May 17, 2026

Common StockSEC Table I · non-derivativeDirect63,154 Reported balance After 2026-05-18 transaction · row 6 Holding and transaction disclosures are not merged.
1 source row

Row 6 · 2026-05-18 · Exercise / conversion · Acquired 5,447 · Balance 63,154

Common StockSEC Table I · non-derivativeDirect61,160 Reported balance After 2026-05-18 transaction · row 7 Holding and transaction disclosures are not merged.
1 source row

Row 7 · 2026-05-18 · Tax withholding · Disposed 1,994 · Balance 61,160

F4: Represents the withholding of the Issuer's common stock for the tax liability associated with the vesting and settlement of the common stock issued on May 18, 2026

Common StockSEC Table I · non-derivativeDirect47,210 Reported balance Holding disclosure · report date 2026-05-16 · row 1 Holding and transaction disclosures are not merged.
1 source row

Row 1 · Balance 47,210

Restricted Stock UnitsSEC Table II · derivative / convertible security · Expires 2028-05-16Direct8,750 Reported balance After 2026-05-16 transaction · row 8 Instrument identity requires review; Table II rows are not merged.
1 source row

Row 8 · 2026-05-16 · Exercise / conversion · Disposed 4,375 · Balance 8,750

F5: Restricted stock units convert into common stock on a one-for-one basis.

F6: These restricted stock units vested on May 16, 2026.

F7: These restricted stock units vest in two equal annual installments beginning on May 16, 2027.

Restricted Stock UnitsSEC Table II · derivative / convertible security · Expires 2026-05-18Direct0 Reported balance After 2026-05-18 transaction · row 9 Instrument identity requires review; Table II rows are not merged.
1 source row

Row 9 · 2026-05-18 · Exercise / conversion · Disposed 5,447 · Balance 0

F5: Restricted stock units convert into common stock on a one-for-one basis.

F8: These restricted stock units cliff vested on May 18, 2026.

Filing footnotes · ownership attribution and instrument terms

F1: Represents the withholding of the Issuer's common stock for the tax liability associated with the vesting and settlement of the common stock issued on May 16, 2026

F2: On May 17, 2026, 12,184 performance-based restricted stock units, granted on May 17, 2024, vested

F3: Represents the withholding of the Issuer's common stock for the tax liability associated with the vesting and settlement of the common stock issued on May 17, 2026

F4: Represents the withholding of the Issuer's common stock for the tax liability associated with the vesting and settlement of the common stock issued on May 18, 2026

F5: Restricted stock units convert into common stock on a one-for-one basis.

F6: These restricted stock units vested on May 16, 2026.

F7: These restricted stock units vest in two equal annual installments beginning on May 16, 2027.

F8: These restricted stock units cliff vested on May 18, 2026.

Transaction history

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Purchases/sales include open-market and private transactions. Plan disclosure applies to the filing; individual rows may differ. “Not disclosed” is not “unplanned.”

The cutoff filters transaction history only. Company summaries and owner relationships show the latest available disclosures. Parser corrections can improve historical records.

Transaction dateCompanyActivity / securityShares / unitsReported priceReported valueDetails
May 18, 2026 Filed May 20, 2026 01:48 UTC InfuSystem Holdings, Inc INFU · Entity 6163 Exercise / conversionRestricted Stock Units · Derivative 5,447 $0.00 $0.00
Disclosure

SEC source: 0001628280-26-036708 · wk-form4_1779241713.xml · derivative · entry 9

Chupa Addam · CIK 0001953233 · Executive VP and CIO

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 0

Underlying: Common Stock · 5,447 shares

Expires 2026-05-18

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F5 · derivative.exercise_price: Restricted stock units convert into common stock on a one-for-one basis.

F8 · derivative.exercise_date: These restricted stock units cliff vested on May 18, 2026.

Read SEC document
May 18, 2026 Filed May 20, 2026 01:48 UTC InfuSystem Holdings, Inc INFU · Entity 6163 Tax withholdingCommon Stock 1,994 $8.90 $17,746.60
Disclosure

SEC source: 0001628280-26-036708 · wk-form4_1779241713.xml · nonDerivative · entry 7

Chupa Addam · CIK 0001953233 · Executive VP and CIO

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 61,160

F4 · kind: Represents the withholding of the Issuer's common stock for the tax liability associated with the vesting and settlement of the common stock issued on May 18, 2026

Read SEC document
May 18, 2026 Filed May 20, 2026 01:48 UTC InfuSystem Holdings, Inc INFU · Entity 6163 Exercise / conversionCommon Stock 5,447 $0.00 $0.00
Disclosure

SEC source: 0001628280-26-036708 · wk-form4_1779241713.xml · nonDerivative · entry 6

Chupa Addam · CIK 0001953233 · Executive VP and CIO

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 63,154

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

Read SEC document
May 17, 2026 Filed May 20, 2026 01:48 UTC InfuSystem Holdings, Inc INFU · Entity 6163 Tax withholdingCommon Stock 4,460 $8.77 $39,114.20
Disclosure

SEC source: 0001628280-26-036708 · wk-form4_1779241713.xml · nonDerivative · entry 5

Chupa Addam · CIK 0001953233 · Executive VP and CIO

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 57,707

F3 · kind: Represents the withholding of the Issuer's common stock for the tax liability associated with the vesting and settlement of the common stock issued on May 17, 2026

Read SEC document
May 17, 2026 Filed May 20, 2026 01:48 UTC InfuSystem Holdings, Inc INFU · Entity 6163 GrantCommon Stock 12,184 $0.00 $0.00
Disclosure

SEC source: 0001628280-26-036708 · wk-form4_1779241713.xml · nonDerivative · entry 4

Chupa Addam · CIK 0001953233 · Executive VP and CIO

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 62,167

F2 · shares: On May 17, 2026, 12,184 performance-based restricted stock units, granted on May 17, 2024, vested

Read SEC document
May 16, 2026 Filed May 20, 2026 01:48 UTC InfuSystem Holdings, Inc INFU · Entity 6163 Exercise / conversionRestricted Stock Units · Derivative 4,375 $0.00 $0.00
Disclosure

SEC source: 0001628280-26-036708 · wk-form4_1779241713.xml · derivative · entry 8

Chupa Addam · CIK 0001953233 · Executive VP and CIO

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 8,750

Underlying: Common Stock · 4,375 shares

Expires 2028-05-16

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F5 · derivative.exercise_price: Restricted stock units convert into common stock on a one-for-one basis.

F6 · derivative.exercise_date: These restricted stock units vested on May 16, 2026.

F7 · balance_after: These restricted stock units vest in two equal annual installments beginning on May 16, 2027.

Read SEC document
May 16, 2026 Filed May 20, 2026 01:48 UTC InfuSystem Holdings, Inc INFU · Entity 6163 Tax withholdingCommon Stock 1,602 $8.77 $14,049.54
Disclosure

SEC source: 0001628280-26-036708 · wk-form4_1779241713.xml · nonDerivative · entry 3

Chupa Addam · CIK 0001953233 · Executive VP and CIO

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 49,983

F1 · kind: Represents the withholding of the Issuer's common stock for the tax liability associated with the vesting and settlement of the common stock issued on May 16, 2026

Read SEC document
May 16, 2026 Filed May 20, 2026 01:48 UTC InfuSystem Holdings, Inc INFU · Entity 6163 Exercise / conversionCommon Stock 4,375 $0.00 $0.00
Disclosure

SEC source: 0001628280-26-036708 · wk-form4_1779241713.xml · nonDerivative · entry 2

Chupa Addam · CIK 0001953233 · Executive VP and CIO

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 51,585

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

Read SEC document
May 12, 2026 Filed May 14, 2026 22:32 UTC InfuSystem Holdings, Inc INFU · Entity 6163 GrantRestricted Stock Units · Derivative 9,973 $0.00 $0.00
Disclosure

SEC source: 0001628280-26-035261 · wk-form4_1778797921.xml · derivative · entry 3

Chupa Addam · CIK 0001953233 · Executive VP and CIO

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 9,973

Underlying: Common Stock · 9,973 shares

Expires 2029-05-12

F3 · derivative.exercise_price: Restricted stock units convert into common stock on a one-for-one basis.

F4 · derivative.exercise_date: These restricted stock units vest in three equal annual installments beginning on May 12, 2027.

Read SEC document
May 12, 2026 Filed May 14, 2026 22:32 UTC InfuSystem Holdings, Inc INFU · Entity 6163 GrantStock Option (right to buy) · Derivative 20,777 $0.00 Strike: $8.37 $0.00
Disclosure

SEC source: 0001628280-26-035261 · wk-form4_1778797921.xml · derivative · entry 2

Chupa Addam · CIK 0001953233 · Executive VP and CIO

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 20,777

Underlying: Common Stock · 20,777 shares

Expires 2036-05-12

F2 · derivative.exercise_date: The option, representing the right to purchase a total of 20,777 shares of InfuSystem Holdings, Inc. common stock, vests in four equal annual installments beginning May 12, 2027.

Read SEC document
May 17, 2025 Filed May 20, 2025 22:54 UTC InfuSystem Holdings, Inc INFU · Entity 6163 Exercise / conversionRestricted Stock Units · Derivative 10,000 $0.00 $0.00
Disclosure

SEC source: 0001628280-25-026952 · wk-form4_1747781667.xml · derivative · entry 6

Chupa Addam · CIK 0001953233 · Executive VP and CIO

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 0

Underlying: Common Stock · 10,000 shares

Expires 2025-05-17

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F4 · derivative.exercise_price: Restricted stock units convert into common stock on a one-for-one basis.

Read SEC document
May 17, 2025 Filed May 20, 2025 22:54 UTC InfuSystem Holdings, Inc INFU · Entity 6163 Tax withholdingCommon Stock 3,660 $6.15 $22,509.00
Disclosure

SEC source: 0001628280-25-026952 · wk-form4_1747781667.xml · nonDerivative · entry 3

Chupa Addam · CIK 0001953233 · Executive VP and CIO

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 44,956

F2 · kind: Represents the withholding of the Issuer's common stock for the tax liability associated with the vesting and settlement of the common stock issued on May 17, 2025

Read SEC document
May 17, 2025 Filed May 20, 2025 22:54 UTC InfuSystem Holdings, Inc INFU · Entity 6163 Exercise / conversionCommon Stock 10,000 $0.00 $0.00
Disclosure

SEC source: 0001628280-25-026952 · wk-form4_1747781667.xml · nonDerivative · entry 2

Chupa Addam · CIK 0001953233 · Executive VP and CIO

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 48,616

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

Read SEC document
May 16, 2025 Filed May 20, 2025 22:54 UTC InfuSystem Holdings, Inc INFU · Entity 6163 GrantRestricted Stock Units · Derivative 13,125 $0.00 $0.00
Disclosure

SEC source: 0001628280-25-026952 · wk-form4_1747781667.xml · derivative · entry 5

Chupa Addam · CIK 0001953233 · Executive VP and CIO

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 13,125

Underlying: Common Stock · 13,125 shares

Expires 2028-05-16

F4 · derivative.exercise_price: Restricted stock units convert into common stock on a one-for-one basis.

F5 · derivative.exercise_date: These restricted stock units vest in three equal annual installments beginning on May 16, 2026.

Read SEC document
May 16, 2025 Filed May 20, 2025 22:54 UTC InfuSystem Holdings, Inc INFU · Entity 6163 GrantStock Option (right to buy) · Derivative 31,176 $0.00 Strike: $6.00 $0.00
Disclosure

SEC source: 0001628280-25-026952 · wk-form4_1747781667.xml · derivative · entry 4

Chupa Addam · CIK 0001953233 · Executive VP and CIO

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 31,176

Underlying: Common Stock · 31,176 shares

Expires 2035-05-16

F3 · derivative.exercise_date: The option, representing the right to purchase a total of 31,176 shares of InfuSystem Holdings, Inc. common stock, vests in four equal annual installments beginning May 16, 2026.

Read SEC document
October 31, 2024 Filed Nov 5, 2024 00:31 UTC InfuSystem Holdings, Inc INFU · Entity 6163 Exercise / conversionRestricted Stock Units · Derivative 20,000 $0.00 $0.00
Disclosure

SEC source: 0001628280-24-045082 · wk-form4_1730766674.xml · derivative · entry 4

Chupa Addam · CIK 0001953233 · Executive VP and CIO

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 0

Underlying: Common Stock · 20,000 shares

Expires 2024-10-31

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F3 · derivative.exercise_price: Restricted stock units convert into common stock on a one-for-one basis.

Read SEC document
October 31, 2024 Filed Nov 5, 2024 00:31 UTC InfuSystem Holdings, Inc INFU · Entity 6163 Tax withholdingCommon Stock 8,720 $6.19 $53,976.80
Disclosure

SEC source: 0001628280-24-045082 · wk-form4_1730766674.xml · nonDerivative · entry 3

Chupa Addam · CIK 0001953233 · Executive VP and CIO

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 37,195

F2 · kind: Represents the withholding of the Issuer's common stock for the tax liability associated with the vesting and settlement of the common stock issued on October 31, 2024

Read SEC document
October 31, 2024 Filed Nov 5, 2024 00:31 UTC InfuSystem Holdings, Inc INFU · Entity 6163 Exercise / conversionCommon Stock 20,000 $0.00 $0.00
Disclosure

SEC source: 0001628280-24-045082 · wk-form4_1730766674.xml · nonDerivative · entry 2

Chupa Addam · CIK 0001953233 · Executive VP and CIO

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 45,915

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

Read SEC document
May 21, 2024 Filed May 21, 2024 22:14 UTC InfuSystem Holdings, Inc INFU · Entity 6163 PurchaseCommon Stock 1,000 $6.67 $6,670.00
Disclosure

SEC source: 0001628280-24-024592 · wk-form4_1716329652.xml · nonDerivative · entry 4

Chupa Addam · CIK 0001953233 · Executive VP and CIO

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 24,774

F4 · price: The price reported in Column 4 is a weighted average price. These shares reported herein were purchased in multiple transactions. The reporting person undertakes to provide to the Issuer, and security holder of the Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares purchased at each separate price.

Read SEC document
May 17, 2024 Filed May 21, 2024 22:14 UTC InfuSystem Holdings, Inc INFU · Entity 6163 GrantStock Option (right to buy) · Derivative 53,528 $0.00 Strike: $6.34 $0.00
Disclosure

SEC source: 0001628280-24-024592 · wk-form4_1716329652.xml · derivative · entry 6

Chupa Addam · CIK 0001953233 · Executive VP and CIO

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 53,528

Underlying: Common Stock · 53,528 shares

Expires 2034-05-17

F6 · derivative.exercise_date: The option, representing the right to purchase a total of 53,528 shares of InfuSystem Holdings, Inc. common stock, vests in four equal annual installments beginning May 17, 2025.

Read SEC document
May 17, 2024 Filed May 21, 2024 22:14 UTC InfuSystem Holdings, Inc INFU · Entity 6163 GrantRestricted Stock Units · Derivative 11,830 $0.00 Strike: $0.00 $0.00
Disclosure

SEC source: 0001628280-24-024592 · wk-form4_1716329652.xml · derivative · entry 5

Chupa Addam · CIK 0001953233 · Executive VP and CIO

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 11,830

Underlying: Common Stock · 11,830 shares

Expires 2027-05-17

F5 · derivative.exercise_price: Restricted stock units convert into common stock on a one-for-one basis.

Read SEC document
May 17, 2024 Filed May 21, 2024 22:14 UTC InfuSystem Holdings, Inc INFU · Entity 6163 Tax withholdingCommon Stock 987 $6.44 $6,356.28
Disclosure

SEC source: 0001628280-24-024592 · wk-form4_1716329652.xml · nonDerivative · entry 3

Chupa Addam · CIK 0001953233 · Executive VP and CIO

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 23,774

F3 · kind: Represents the withholding of the Issuer's common stock for the tax liability associated with the vesting and settlement of the common stock issued on May 17, 2024

Read SEC document
May 17, 2024 Filed May 21, 2024 22:14 UTC InfuSystem Holdings, Inc INFU · Entity 6163 GrantCommon Stock 2,850 $0.00 $0.00
Disclosure

SEC source: 0001628280-24-024592 · wk-form4_1716329652.xml · nonDerivative · entry 2

Chupa Addam · CIK 0001953233 · Executive VP and CIO

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 24,761

F2 · shares: On May 17, 2024, 2,850 performance-based restricted stock units, granted on May 17, 2022, vested

Read SEC document
February 09, 2024 Filed Feb 14, 2024 01:51 UTC InfuSystem Holdings, Inc INFU · Entity 6163 Exercise / conversionRestricted Stock Units · Derivative 3,000 $0.00 $0.00
Disclosure

SEC source: 0001628280-24-004607 · wk-form4_1707875465.xml · derivative · entry 4

Chupa Addam · CIK 0001953233 · Executive VP and CIO

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 0

Underlying: Common Stock · 3,000 shares

Expires 2024-02-09

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F4 · derivative.exercise_price: Restricted stock units convert into common stock on a one-for-one basis.

Read SEC document
February 09, 2024 Filed Feb 14, 2024 01:51 UTC InfuSystem Holdings, Inc INFU · Entity 6163 Tax withholdingCommon Stock 1,374 $9.60 $13,190.40
Disclosure

SEC source: 0001628280-24-004607 · wk-form4_1707875465.xml · nonDerivative · entry 3

Chupa Addam · CIK 0001953233 · Executive VP and CIO

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 21,019

F3 · kind: Represents the withholding of the Issuer's common stock for the tax liability associated with the vesting and settlement of the common stock issued on February 9, 2024

Read SEC document
February 09, 2024 Filed Feb 14, 2024 01:51 UTC InfuSystem Holdings, Inc INFU · Entity 6163 Exercise / conversionCommon Stock 3,000 $0.00 $0.00
Disclosure

SEC source: 0001628280-24-004607 · wk-form4_1707875465.xml · nonDerivative · entry 2

Chupa Addam · CIK 0001953233 · Executive VP and CIO

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 22,393

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F2 · kind: These restricted stock units fully vested on February 9, 2024.

Read SEC document
May 20, 2023 Filed May 23, 2023 00:26 UTC InfuSystem Holdings, Inc INFU · Entity 6163 Exercise / conversionRestricted Stock Units · Derivative 2,500 $0.00 $0.00
Disclosure

SEC source: 0001628280-23-019359 · wf-form4_168480160424134.xml · derivative · entry 5

Chupa Addam · CIK 0001953233 · Executive VP and CIO

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 0

Underlying: Common Stock · 2,500 shares

Expires not disclosed

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F4 · derivative.exercise_price: Restricted stock units convert into common stock on a one-for-one basis.

F6 · derivative.exercise_date: These restricted stock units fully vested on May 20, 2023.

F6 · derivative.expiration_date: These restricted stock units fully vested on May 20, 2023.

Read SEC document
May 20, 2023 Filed May 23, 2023 00:26 UTC InfuSystem Holdings, Inc INFU · Entity 6163 Tax withholdingCommon Stock 1,015 $9.12 $9,256.80
Disclosure

SEC source: 0001628280-23-019359 · wf-form4_168480160424134.xml · nonDerivative · entry 2

Chupa Addam · CIK 0001953233 · Executive VP and CIO

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 18,466

F2 · kind: Represents the withholding of the Issuer's common stock for the tax liability associated with the vesting and settlement of the common stock issued on May 20, 2023

Read SEC document
May 20, 2023 Filed May 23, 2023 00:26 UTC InfuSystem Holdings, Inc INFU · Entity 6163 Exercise / conversionCommon Stock 2,500 $0.00 $0.00
Disclosure

SEC source: 0001628280-23-019359 · wf-form4_168480160424134.xml · nonDerivative · entry 1

Chupa Addam · CIK 0001953233 · Executive VP and CIO

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 19,481

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F1 · kind: Vesting of restricted stock award granted on May 20, 2020

Read SEC document
May 18, 2023 Filed May 23, 2023 00:26 UTC InfuSystem Holdings, Inc INFU · Entity 6163 GrantRestricted Stock Units · Derivative 5,447 $0.00 $0.00
Disclosure

SEC source: 0001628280-23-019359 · wf-form4_168480160424134.xml · derivative · entry 4

Chupa Addam · CIK 0001953233 · Executive VP and CIO

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 5,447

Underlying: Common Stock · 5,447 shares

Expires 2026-05-18

F4 · derivative.exercise_price: Restricted stock units convert into common stock on a one-for-one basis.

F5 · derivative.exercise_date: These restricted stock units will fully vest on May 18, 2026.

Read SEC document
May 18, 2023 Filed May 23, 2023 00:26 UTC InfuSystem Holdings, Inc INFU · Entity 6163 GrantStock Options (right to buy) · Derivative 36,636 $0.00 Strike: $9.18 $0.00
Disclosure

SEC source: 0001628280-23-019359 · wf-form4_168480160424134.xml · derivative · entry 3

Chupa Addam · CIK 0001953233 · Executive VP and CIO

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 36,636

Underlying: Common Stock · 36,636 shares

Expires 2033-05-18

F3 · derivative.exercise_date: The option, representing the right to purchase a total of 36,636 shares of InfuSystem Holdings, Inc. common stock, vests in three equal annual installments beginning May 18, 2024.

Read SEC document
May 17, 2023 Filed May 19, 2023 21:01 UTC InfuSystem Holdings, Inc INFU · Entity 6163 Exercise / conversionRestricted Stock Units · Derivative 9,744 $0.00 $0.00
Disclosure

SEC source: 0001628280-23-019118 · wf-form4_168453008208079.xml · derivative · entry 3

Chupa Addam · CIK 0001953233 · Executive VP and CIO

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 0

Underlying: Common Stock · 9,744 shares

Expires 2023-05-17

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F4 · derivative.exercise_price: Restricted stock units convert into common stock on a one-for-one basis.

Read SEC document
May 17, 2023 Filed May 19, 2023 21:01 UTC InfuSystem Holdings, Inc INFU · Entity 6163 Tax withholdingCommon Stock 3,799 $9.18 $34,874.82
Disclosure

SEC source: 0001628280-23-019118 · wf-form4_168453008208079.xml · nonDerivative · entry 2

Chupa Addam · CIK 0001953233 · Executive VP and CIO

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 16,981

F3 · kind: Represents the withholding of the Issuer's common stock for the tax liability associated with the vesting and settlement of the common stock issued on May 17, 2023

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May 17, 2023 Filed May 19, 2023 21:01 UTC InfuSystem Holdings, Inc INFU · Entity 6163 Exercise / conversionCommon Stock 9,744 $0.00 $0.00
Disclosure

SEC source: 0001628280-23-019118 · wf-form4_168453008208079.xml · nonDerivative · entry 1

Chupa Addam · CIK 0001953233 · Executive VP and CIO

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 20,780

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F1 · kind: These restricted stock units vested on May 17, 2023.

F2 · balance_after: This total includes an additional 974 shares acquired recently through the Company's Employee Stock Purchase Plan

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Value uses the disclosed total when available, otherwise shares × reported transaction price. It is not an estimate of exercise cash cost or investment performance.