0001209191-15-051898.txt : 20150610 0001209191-15-051898.hdr.sgml : 20150610 20150610164942 ACCESSION NUMBER: 0001209191-15-051898 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: DALE MICHAEL D CENTRAL INDEX KEY: 0001172346 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-55195 FILM NUMBER: 15923894 MAIL ADDRESS: STREET 1: 1350 ENERGY LANE SUITE 110 CITY: ST PAUL STATE: MN ZIP: 55108 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2015-06-09 0 0001245791 GI DYNAMICS, INC. GID 0001172346 DALE MICHAEL D 25 HARTWELL AVENUE LEXINGTON MA 02421 1 1 0 0 President and CEO Stock Option (right to buy) 5.38 2015-06-09 4 A 0 31363 0.00 A 2025-04-10 Common Stock 31363 31363 D The option grant was approved by GI Dynamics, Inc.'s board of directors on April 10, 2015, subject to shareholder approval. Such shareholder approval was received on June 9, 2015.The option vests over a four-year period at a rate of 2.083% of the total shares on the same day of each successive month until April 10, 2019. /s/ Robert Solomon, attorney-in-fact 2015-06-10