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