UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 8-A/A
FOR REGISTRATION OF CERTAIN CLASSES OF SECURITIES
PURSUANT TO SECTION 12(b) OR 12(g) OF THE
SECURITIES EXCHANGE ACT OF 1934
INSULET CORPORATION
(Exact name of registrant as specified in charter)
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Delaware
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04-3523891 |
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(State of incorporation
or organization)
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(I.R.S. Employer
Identification No.) |
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9 Oak Park Drive
Bedford, MA
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01730 |
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(Address of principal executive offices)
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(Zip Code) |
Securities to be registered pursuant to Section 12(b) of the Act:
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Title of each class
to be so registered
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Name of each exchange
on which each
class is to be registered |
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Preferred Stock Purchase Rights
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The NASDAQ Stock Market LLC |
If this Form relates to the registration of a class of securities pursuant to Section 12(b) of the
Exchange Act and is effective pursuant to General Instruction A.(c), check the following box. þ
If this Form relates to the registration of a class of securities pursuant to Section 12(g) of the
Exchange Act and is effective pursuant to General Instruction A.(d), check the following box. o
Securities Act registration statement file number to which this form relates: Not applicable.
Securities to be registered pursuant to Section 12(g) of the Act: None
EXPLANATORY NOTE
This Amendment No. 1 to Form 8-A is being filed by the registrant for the purpose of amending and
supplementing the description of the registrants securities contained in the original Form 8-A
filed by the registrant with the Securities and Exchange Commission on November 20, 2008.
Capitalized terms used without definition herein shall have the meaning set forth in the
Shareholder Rights Agreement, dated November 14, 2008 (the Rights Agreement), by and between
Insulet Corporation (the Company) and Computershare Trust Company, N.A., as rights agent (the
Rights Agent).
Item 1. Description of Registrants Securities to be Registered.
Amendment to Rights Agreement
In connection with the Company entering into the Securities Purchase Agreement dated as of
September 25, 2009 by and among the Company and the Deerfield Parties (as defined below), the
Company entered into the Rights Amendment with the Rights Agent. The Rights Amendment, among other
things, renders the Rights Agreement inapplicable to the acquisition of shares of Common Stock, par
value $0.001 per share (Common Stock) by Deerfield Private Design Fund, L.P. (DPDF), Deerfield
Private Design International, L.P. (DPDI), Deerfield Partners, L.P. (DP) and Deerfield
International Limited (collectively with DPDF, DPDI and DP, the Deerfield Parties), pursuant to
the Securities Purchase Agreement and the transactions contemplated by the Securities Purchase
Agreement. The Rights Amendment provides that acquisition of shares of Common Stock by the
Deerfield Parties will not result in either the Deerfield Parties or any of their Affiliates or
Associates being deemed an Acquiring Person. In addition, the Rights Amendment provides that a
Distribution Date shall not be deemed to have occurred, and that the Rights will not separate
from the shares of Common Stock, in each case, by reason of the Deerfield Parties acquisition of
shares of Common Stock pursuant to the Securities Purchase Agreement and the transactions
contemplated by the Securities Purchase Agreement.
Miscellaneous
The Rights Agreement and the Rights Amendment are filed as Exhibits 4.1 and 4.2 to this
Amendment No. 1 to Form 8-A and incorporated herein by reference. The above description of the
material terms of the Amendment as they relate to the Rights Agreement is qualified in its entirety
by reference to such exhibits.
Item 2. Exhibits.
4.1 |
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Shareholder Rights Agreement, dated as of November 14, 2008, between Insulet Corporation and
Computershare Trust Company, N.A., as Rights Agent, filed as an exhibit to the Companys
Registration Statement on Form 8-A on November 20, 2008 and is incorporated herein by
reference. |
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SIGNATURE
Pursuant to the requirements of Section 12 of the Securities Exchange Act of 1934, the
registrant has duly caused this registration statement to be signed on its behalf by the
undersigned, thereto duly authorized.
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INSULET CORPORATION
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Date: September 25, 2009 |
By: |
/s/ Brian Roberts
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Name: |
Brian Roberts |
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Title: |
Chief Financial Officer |
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