0000899243-18-028959.txt : 20181114
0000899243-18-028959.hdr.sgml : 20181114
20181114194647
ACCESSION NUMBER: 0000899243-18-028959
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20181112
FILED AS OF DATE: 20181114
DATE AS OF CHANGE: 20181114
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: 181185712
MAIL ADDRESS:
STREET 1: 25 HARTWELL AVENUE
STREET 2: C/O GI DYNAMICS, INC.
CITY: LEXINGTON
STATE: MA
ZIP: 02421
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: 745 ATLANTIC AVE
STREET 2: OFFICE NO. 708
CITY: BOSTON
STATE: MA
ZIP: 02111
BUSINESS PHONE: 781-357-3310
MAIL ADDRESS:
STREET 1: 745 ATLANTIC AVE
STREET 2: OFFICE NO. 708
CITY: BOSTON
STATE: MA
ZIP: 02111
FORMER COMPANY:
FORMER CONFORMED NAME: GI DYNAMICS INC
DATE OF NAME CHANGE: 20030623
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2018-11-12
0
0001245791
GI DYNAMICS, INC.
GID
0001670397
Schorer Scott
745 ATLANTIC AVENUE, OFFICE NO. 708
BOSTON
MA
02111
0
1
0
0
President and CEO
Stock Option (right to buy)
0.72
2018-11-12
4
A
0
300000
0.00
A
2018-11-12
Common Stock
300000
300000
D
The option vests over a four (4) year period, with one quarter (1/4) of the shares vesting on the one (1) year anniversary of the date of grant, and the remaining shares vesting in equal amounts on a monthly basis over the following three (3) years until November 12, 2022. In the event of a change of control of the Issuer, the option shall become vested in full.
/S/ Adam Davey, Attorney-in-fact
2018-11-14