0000899243-18-014246.txt : 20180529 0000899243-18-014246.hdr.sgml : 20180529 20180529160554 ACCESSION NUMBER: 0000899243-18-014246 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180524 FILED AS OF DATE: 20180529 DATE AS OF CHANGE: 20180529 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Thompson Juliet CENTRAL INDEX KEY: 0001715258 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-55195 FILM NUMBER: 18864454 MAIL ADDRESS: STREET 1: 355 CONGRESS STREET, 4TH FLOOR STREET 2: C/O GI DYNAMICS, INC. CITY: BOSTON STATE: MA ZIP: 02210 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 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2018-05-24 0 0001245791 GI DYNAMICS, INC. GID 0001715258 Thompson Juliet P.O. BOX 51915 BOSTON MA 02205 1 0 0 0 Stock Option (right to buy) 1.67 2018-05-24 4 A 0 30000 0.00 A 2027-08-22 Common Stock 30000 30000 D The option grant was approved by the Issuer's board of directors on August 22, 2017, subject to shareholder approval, and by the shareholders of the Issuer on May 24, 2018. 1/3 of the option vests on August 22, 2018 and the remainder vests in eight substantially equal installments on a quarterly basis thereafter. In the event of a change of control of the Issuer, the option shall become vested in full. /s/ Adam Davey, Attorney-in-fact 2018-05-29