As filed with the Securities and Exchange Commission on June 6, 2023
Registration No. 333-
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM S-8
REGISTRATION STATEMENT UNDER THE SECURITIES ACT OF 1933
INFUSYSTEM HOLDINGS, INC.
(Exact name of registrant as specified in its charter)
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Delaware | | 20-3341405 |
(State or other jurisdiction of Incorporation or organization) | | (I.R.S. Employer Identification No.) |
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3851 West Hamlin Road | | 48309 |
Rochester Hills, Michigan | | |
(Address of Principal Executive Offices) | | (Zip Code) |
INFUSYSTEM HOLDINGS, INC.
2021 EQUITY INCENTIVE PLAN
(Full title of the plan)
Barry Steele
Executive Vice President and Chief Financial Officer
3851 West Hamlin Road
Rochester Hills, Michigan 48309
(Name and address of agent for service)
(248) 291-1210
(Telephone number, including area code, of agent for service)
with copies of communications to:
B. Scott Gootee, Esq.
Scot Hill, Esq.
Stinson LLP
1201 Walnut, Suite 2900
Kansas City, Missouri 64106
(816) 842-8600
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.
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Large accelerated filer | ¨ | | Accelerated filer | x |
Non-accelerated filer | ¨ | | Smaller reporting company | x |
| | | Emerging growth company | ¨ |
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If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 7(a)(2)(B) of the Securities Act. | |
EXPLANATORY NOTE
This Registration Statement on Form S-8 is being filed by InfuSystem Holdings, Inc. (the “Registrant”) for the purpose of registering an additional 2,500,000 shares of the Registrant’s Common Stock reserved for issuance under the InfuSystem Holdings, Inc. 2021 Equity Incentive Plan (as amended through May 16, 2023), as approved by the Registrant’s stockholders at the Registrant’s 2023 annual meeting of stockholders.
Pursuant to General Instruction E to Form S-8, this Registration Statement on Form S-8 incorporates by reference the contents of the Registration Statement on Form S-8 (File No. 333-256231) filed by the Registrant with the Securities and Exchange Commission (the “Commission”) on May 18, 2021.
PART II
INFORMATION REQUIRED IN THE REGISTRATION STATEMENT
Item 8. Exhibits.
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Exhibit Number | | Description of Exhibit |
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| 4.1 | | |
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| 4.2 | | |
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| 5.1* | | |
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| 23.1* | | |
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| 23.2* | | |
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| 24.1* | | |
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| 99.1 | | |
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| 99.2 | | |
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| 107* | | |
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* Filed herewith.
SIGNATURES
Pursuant to the requirements of the Securities Act, the Registrant certifies that it has reasonable grounds to believe that it meets all of the requirements for filing on Form S-8 and has duly caused this Registration Statement to be signed on its behalf by the undersigned, thereunto duly authorized, in the City of Rochester Hills, State of Michigan, on this 6th day of June, 2023.
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| INFUSYSTEM HOLDINGS, INC. |
| |
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| By: | /s/ Barry Steele | |
| | Barry Steele |
| | Executive Vice President and Chief Financial Officer |
POWER OF ATTORNEY
Each person whose signature appears below hereby constitutes and appoints Richard A. DiIorio and Barry Steele, and each of them, his or her true and lawful attorneys-in-fact and agents, with full power of substitution and resubstitution, for him or her and in his or her name, place and stead, in any and all capacities, to sign any and all amendments (including post-effective amendments) to this Registration Statement, and to file the same, with all exhibits thereto, and other documents in connection therewith, with the Commission, and hereby grants to such attorneys-in-fact and agents, and each of them, full power and authority to do and perform each and every act and thing requisite and necessary to be done, as fully to all intents and purposes as he or she might or could do in person, hereby ratifying and confirming all that said attorneys-in-fact and agents, or any of them, or their or his or her substitute or substitutes, may lawfully do or cause to be done by virtue hereof.
Pursuant to the requirements of the Securities Act, this Registration Statement has been signed by the following persons in the capacities and on the date indicated.
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Signatures | | Title | | Date |
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/s/ Richard A. DiIorio | | President, Chief Executive Officer | | June 6, 2023 |
Richard A. DiIorio | | (Principal Executive Officer) and Director | | |
/s/ Barry Steele | |
Executive Vice President, Chief Financial Officer | | June 6, 2023 |
Barry Steele | | (Principal Financial Officer and Principal Accounting Officer) | | |
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/s/ Scott Shuda | | Chairman of the Board and Director | | June 6, 2023 |
Scott Shuda | | | | |
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/s/ Ralph Boyd | | Director | | June 6, 2023 |
Ralph Boyd | | | | |
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/s Paul Gendron | | Director | | June 6, 2023 |
Paul Gendron
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/s/ Carrie Lachance | |
Director | | June 6, 2023 |
Carrie Lachance
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/s/ Gregg Lehman | |
Director | | June 6, 2023 |
Gregg Lehman
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/s/ R. Rimmy Malhotra | |
Director | | June 6, 2023 |
R. Rimmy Malhotra