0000899243-16-016551.txt : 20160324 0000899243-16-016551.hdr.sgml : 20160324 20160324173710 ACCESSION NUMBER: 0000899243-16-016551 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: Schorer Scott CENTRAL INDEX KEY: 0001670397 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-55195 FILM NUMBER: 161528184 MAIL ADDRESS: STREET 1: 25 HARTWELL AVENUE STREET 2: C/O GI DYNAMICS, INC. CITY: LEXINGTON STATE: MA ZIP: 02421 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-03-23 0 0001245791 GI DYNAMICS, INC. GID 0001670397 Schorer Scott 25 HARTWELL AVENUE LEXINGTON MA 02421 0 1 0 0 President and CEO Stock Option (right to buy) 0.80 2016-03-23 4 A 0 250000 0.00 A 2026-03-23 Common Stock 250000 250000 D The option vests over a four (4) year period, with one quarter (1/4) of the shares on the one (1) year anniversary of the date of grant, and the remaining shares vesting in equal amounts on a quarterly basis over the following three (3) years until March 23, 2020. In the event of a change of control of the Issuer, the option shall become vested in full. /s/ Robert Solomon, attorney-in-fact 2016-03-24