FORM 3
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0104
Estimated average burden hours per response... 0.5

(Print or Type Responses)
1. Name and Address of Reporting Person *
  Lachance Carrie
2. Date of Event Requiring Statement (Month/Day/Year)
10/01/2019
3. Issuer Name and Ticker or Trading Symbol
InfuSystem Holdings, Inc [INFU]
(Last)
(First)
(Middle)
31700 RESEARCH PARK DRIVE
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
__X__ Officer (give title below) _____ Other (specify below)
Executive VP and COO
5. If Amendment, Date Original Filed(Month/Day/Year)
(Street)

MADISON HEIGHTS, MI 48071
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 Beneficially Owned
1.Title of Security
(Instr. 4)
2. Amount of Securities Beneficially Owned
(Instr. 4)
3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
4. Nature of Indirect Beneficial Ownership
(Instr. 5)
Common Stock 69,636
D
 

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. SEC 1473 (7-02)
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 4)
2. Date Exercisable and Expiration Date
(Month/Day/Year)
3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
4. Conversion or Exercise Price of Derivative Security 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
6. Nature of Indirect Beneficial Ownership
(Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option (right to buy) (1) 09/07/2018 09/06/2022 Common Stock 7,500 $ 1.98 D  
Stock Option (right to buy) (2) 09/07/2018 09/06/2022 Common Stock 10,000 $ 1.98 D  
Stock Option (right to buy) (3) 04/20/2019 04/19/2028 Common Stock 50,000 $ 2.7 D  
Stock Option (right to buy) (4) 07/19/2019 07/18/2023 Common Stock 25,000 $ 3.36 D  
Stock Option (right to buy) (5) 05/15/2020 05/14/2029 Common Stock 40,000 $ 4.7 D  

Reporting Owners

Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Lachance Carrie
31700 RESEARCH PARK DRIVE
MADISON HEIGHTS, MI 48071
      Executive VP and COO  

Signatures

/s/Carrie Lachance 10/09/2019
**Signature of Reporting Person Date

Explanation of Responses:

* If the form is filed by more than one reporting person, see Instruction 5(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).
(1) The option, representing the right to purchase a total of 7,500 shares of InfuSystem Holdings, Inc. common stock, vests 33% per year on the anniversary starting September 7, 2018.
(2) The option, representing the right to purchase a total of 10,000 shares of InfuSystem Holdings, Inc. common stock, vests 50% per year on the anniversary starting September 7, 2018.
(3) The option, representing the right to purchase a total of 50,000 shares of InfuSystem Holdings, Inc. common stock, vests 33% per year on the anniversary starting April 20, 2019.
(4) The option, representing the right to purchase a total of 25,000 shares of InfuSystem Holdings, Inc. common stock, vests 33% per year on the anniversary starting July 19, 2019.
(5) The option, representing the right to purchase a total of 40,000 shares of InfuSystem Holdings, Inc. common stock, vests 33% per year on the anniversary starting May 15, 2020.

Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, See Instruction 6 for procedure.

Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB number.