0001209191-15-051908.txt : 20150610 0001209191-15-051908.hdr.sgml : 20150610 20150610165558 ACCESSION NUMBER: 0001209191-15-051908 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150609 FILED AS OF DATE: 20150610 DATE AS OF CHANGE: 20150610 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: 15923941 MAIL ADDRESS: STREET 1: 40 ELM ST CITY: CONCORD STATE: MA ZIP: 01752 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-06-09 0 0001245791 GI DYNAMICS, INC. GID 0001120355 BARBERICH TIMOTHY J 25 HARTWELL AVENUE LEXINGTON MA 02421 1 0 0 0 Stock Option (right to buy) 5.70 2015-06-09 4 A 0 1000 0.00 A 2025-03-23 Common Stock 1000 1000 D Restricted Stock Unit (RSU) 2015-06-09 4 A 0 1000 0.00 A 2025-03-23 Common Stock 1000 1000 D The option grant 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 option vests in full on March 23, 2016. 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 2015-06-10