Sec Form 4 Filing - Alpuche Charles @ INSULET CORP - 2022-06-06

Insider filing report for Changes in Beneficial Ownership
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FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Alpuche Charles
2. Issuer Name and Ticker or Trading Symbol
INSULET CORP [ PODD]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
EVP & Chief Operating Officer
(Last) (First) (Middle)
C/O INSULET CORPORATION, 100 NAGOG PARK
3. Date of Earliest Transaction (MM/DD/YY)
06/06/2022
(Street)
ACTON, MA01720
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 06/06/2022 S 6,000 D $ 215.32( 1 ) 43,899( 2 ) D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)
6. Date Exercisable and Expiration Date
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 4)
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Alpuche Charles
C/O INSULET CORPORATION
100 NAGOG PARK
ACTON, MA01720
EVP & Chief Operating Officer
Signatures
/s/ John W. Kapples, attorney-in-fact 06/07/2022
Signature of Reporting Person Date
Explanation of Responses:
( 1 )The price reported represents the weighted average sale price of the shares sold. The shares were sold at varying prices in the range of $212.08 to $218.41. Specifically:400 shares were sold in the range of $212.08 to $212.99, with a weighted average share price of $212.65; 300 shares were sold in the range of $213.26 to $213.84, with a weighted average share price of $213.53; 800 shares were sold in the range of $214.21 to $214.55, with a weighted average share price of $214.34; 2,898 shares were sold in the range of $215.01 to $215.98, with a weighted average share price of $215.45; 1,301 shares were sold in the range of $216.01 to $216.70, with a weighted average share price of $216.33; 201 shares were sold in the range of $217.03 to $217.24, with a weighted average share price of $217.14 and 100 shares were sold at a price of $218.41. The Reporting Person hereby undertakes, upon request of the Staff of the U.S. Securities Exchange Commission, the Issuer or a security holder of the Issuer, to provide full information regarding the number of shares sold at each separate price.
( 2 )Includes 88 shares acquired under the Insulet Corporation Employee Stock Purchase Plan on May 31, 2022.

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* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
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