0000899243-16-016518.txt : 20160324 0000899243-16-016518.hdr.sgml : 20160324 20160324151320 ACCESSION NUMBER: 0000899243-16-016518 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: Moore Daniel Jeffrey CENTRAL INDEX KEY: 0001400857 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-55195 FILM NUMBER: 161526823 MAIL ADDRESS: STREET 1: 100 CYBERONICS BVLD CITY: HOUSTON STATE: TX ZIP: 77058 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-03-23 0 0001245791 GI DYNAMICS, INC. GID 0001400857 Moore Daniel Jeffrey 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