Sec Form 3 Filing - Boston Avenue Capital LLC @ InfuSystem Holdings, Inc - 2011-11-29

Insider filing report for Changes in Beneficial Ownership
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FORM 3
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
Boston Avenue Capital LLC
2. Issuer Name and Ticker or Trading Symbol
InfuSystem Holdings, Inc [ INFU]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
_____ Officer (give title below) X __ Other (specify below)
Member of 10% owner group
(Last) (First) (Middle)
15 EAST 5TH STREET, SUITE 3200
3. Date of Earliest Transaction (MM/DD/YY)
11/29/2011
(Street)
TULSA, OK74103
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
_____ Form filed by One Reporting Person
__ X __ 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 82,327 D ( 1 ) ( 2 ) ( 3 )
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
Boston Avenue Capital LLC
15 EAST 5TH STREET, SUITE 3200
TULSA, OK74103
Member of 10% owner group
Adelson James F
15 EAST 5TH STREET, SUITE 3200
TULSA, OK74103
Member of 10% owner group
Gillman Charles M
15 EAST 5TH STREET, SUITE 3200
TULSA, OK74103
Member of 10% owner group
Heyman Stephen J
15 EAST 5TH STREET, SUITE 3200
TULSA, OK74103
Member of 10% owner group
Signatures
/s/ Paula L. Skidmore, Attorney-in-Fact for each of the Reporting Persons 12/07/2011
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Boston Avenue Capital LLC ("BAC") beneficially owns and has voting and dispositive power over the reported Common Stock. As the managers of BAC, Messrs. Heyman and Adelson may be deemed to have the shared power to vote or direct the vote of (and the shared power to dispose or direct the disposition of) any shares of Common Stock beneficially owned by BAC. Neither Messrs. Heyman nor Adelson hold any shares of Common Stock directly, and each disclaims beneficial ownership of any shares of Common Stock beneficially owned by BAC. As the portfolio manager of BAC, Mr. Gillman may be deemed to have the shared power to vote or direct the vote of (and the shared power to dispose or direct the disposition of) any shares of Common Stock beneficially owned by BAC. Mr. Gillman does not own any shares of Common Stock directly, and disclaims beneficial ownership of any shares of Common Stock beneficially owned by BAC.
( 2 )On December 6, 2011, BAC, Messrs. Heyman, Adelson and Gilman (collectively, the "Reporting Persons"), and certain other persons made a joint filing on Schedule 13D with the Securities and Exchange Commission, under Section 13(d) of the Securities Exchange Act of 1934, as amended, and therefore may be deemed to beneficially own Common Stock beneficially owned by the other persons in such joint filing. The Reporting Persons disclaim beneficial ownership of and any pecuniary interest in any shares of Common Stock beneficially owned by such other persons.
( 3 )This Form 3 filing shall not be deemed an admission that any Reporting Person is a beneficial owner of any shares of Common Stock for any purpose, other than the Common Stock reported in Table I, or that any Reporting Person is a member of a "group." This Form 3 does not reflect Common Stock owned by any person other than the Reporting Persons.

Remarks:
Exhibits: Exhibit 24.1, Power of Attorney for Boston Avenue Capital LLC; Exhibit 24.2, Power of Attorney for James F. Adelson; Exhibit 24.3, Power of Attorney for Charles M. Gillman; Exhibit 24.4, Power of Attorney for Stephen J. Heyman.

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).

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