SEC Form 4 · accession 0000899243-15-005068
GI DYNAMICS, INC. · GID
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Michael D Dale
Officer — President and CEO · Director
Period of report
Sep 18, 2015
Accepted (ET)
Sep 21, 2015 · 2:32 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001245791
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Sep 18, 2015 | M | 20,886 | — | A | 20,886 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock Unit (RSU)F2,F3 | — | Sep 18, 2015 | M | 20,886 | D | — | Sep 18, 2024 | Common Stock | 20,886 | 62,658 | D |
Explanation of responses
- F1Restricted stock units convert into common stock on a one-for-one basis.
- F2There is no exercise price associated with the RSU.
- F3The RSU vests as to twenty-five percent (25%) of the shares on each of the first four anniversaries of the date of grant: September 18 in 2015, 2016, 2017 and 2018. In the event of a change of control of the Issuer, the RSU shall become vested in full.