0001213900-21-006789.txt : 20210204
0001213900-21-006789.hdr.sgml : 20210204
20210204163633
ACCESSION NUMBER: 0001213900-21-006789
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210128
FILED AS OF DATE: 20210204
DATE AS OF CHANGE: 20210204
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: VIRGILIO JOSEPH III
CENTRAL INDEX KEY: 0001832913
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-55195
FILM NUMBER: 21591701
MAIL ADDRESS:
STREET 1: 320 CONGRESS ST
STREET 2: 3RD FLOOR
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: 320 CONGRESS STREET
STREET 2: 3RD FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02210
BUSINESS PHONE: 781-357-3310
MAIL ADDRESS:
STREET 1: 320 CONGRESS STREET
STREET 2: 3RD FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02210
FORMER COMPANY:
FORMER CONFORMED NAME: GI DYNAMICS INC
DATE OF NAME CHANGE: 20030623
4
1
ownership.xml
X0306
4
2021-01-28
0
0001245791
GI DYNAMICS, INC.
NONE
0001832913
VIRGILIO JOSEPH III
320 CONGRESS STREET, FLOOR 3
BOSTON
MA
02210
1
1
0
0
President & CEO
Stock Option (right to buy)
0.06
2021-01-28
4
A
0
11075869
0.00
A
2031-01-28
Common Stock
11075869
11075869
D
The stock option grant was approved by the Issuer's board of directors on January 28, 2021. The stock options will vest over four years, with 25% vesting on January 28, 2022 and the remainder vesting in 12 quarterly installments thereafter, subject to such individual's continued service through each such date. In the event of a change of control of the Issuer prior to vesting, any unvested shares will become vested in full.
/s/ Joseph Virgilio
2021-02-04