0000899243-16-016522.txt : 20160324
0000899243-16-016522.hdr.sgml : 20160324
20160324152125
ACCESSION NUMBER: 0000899243-16-016522
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160323
FILED AS OF DATE: 20160324
DATE AS OF CHANGE: 20160324
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: GI DYNAMICS, INC.
CENTRAL INDEX KEY: 0001245791
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: ONE MAGUIRE ROAD
CITY: LEXINGTON
STATE: MA
ZIP: 02421
BUSINESS PHONE: 781-357-3310
MAIL ADDRESS:
STREET 1: ONE MAGUIRE ROAD
CITY: LEXINGTON
STATE: MA
ZIP: 02421
FORMER COMPANY:
FORMER CONFORMED NAME: GI DYNAMICS INC
DATE OF NAME CHANGE: 20030623
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BARBERICH TIMOTHY J
CENTRAL INDEX KEY: 0001120355
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-55195
FILM NUMBER: 161526857
MAIL ADDRESS:
STREET 1: 40 ELM ST
CITY: CONCORD
STATE: MA
ZIP: 01752
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2016-03-23
0
0001245791
GI DYNAMICS, INC.
GID
0001120355
BARBERICH TIMOTHY J
25 HARTWELL AVENUE
LEXINGTON
MA
02421
1
0
0
0
Common Stock
2016-03-23
4
M
0
1000
A
1000
D
Restricted Stock Unit (RSU)
2016-03-23
4
M
0
1000
0.00
D
2025-03-23
Common Stock
1000
0
D
Restricted stock units convert into common stock on a one-for-one basis.
There is no exercise price associated with the RSU.
The RSU was approved by GI Dynamics, Inc.'s board of directors on March 23, 2015, subject to shareholder approval. Such shareholder approval was received on June 9, 2015.The RSU vests in full on March 23, 2016.
/s/ Robert Solomon, attorney-in-fact
2016-03-24