0000899243-17-014226.txt : 20170524
0000899243-17-014226.hdr.sgml : 20170524
20170524152343
ACCESSION NUMBER: 0000899243-17-014226
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170522
FILED AS OF DATE: 20170524
DATE AS OF CHANGE: 20170524
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: Stuge Oern
CENTRAL INDEX KEY: 0001319750
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-55195
FILM NUMBER: 17866523
MAIL ADDRESS:
STREET 1: GI DYNAMICS, INC.
STREET 2: 25 HARTWELL AVENUE
CITY: LEXINGTON
STATE: MA
ZIP: 02421
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-05-22
0
0001245791
GI DYNAMICS, INC.
GID
0001319750
Stuge Oern
355 CONGRESS STREET
BOSTON
MA
02210
1
0
0
0
Stock Option (right to buy)
2.33
2017-05-22
4
A
0
8000
0.00
A
2027-04-10
Common Stock
8000
8000
D
The option grant was approved by the Issuer's board of directors on April 10, 2017, subject to shareholder approval, and by the shareholders of the Issuer on May 22, 2017. The option vests in a single installment on April 10, 2018. In the event of a change of control of the Issuer, the option shall become vested in full.
The board of directors of the Issuer previously approved a stock option grant to purchase 30,000 shares of the Issuer, as reported in the reporting person's Form 4 filed on January 12, 2017. The option grant was subject to shareholder approval, which was not obtained. As such, the option was not granted.
/s/ Nishant M. Dharia, Attorney-in-fact
2017-05-24