SEC Form 4 · accession 0000899243-16-016490
GI DYNAMICS, INC. · GID
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Anne Keating
Director
Period of report
Mar 22, 2016
Accepted (ET)
Mar 24, 2016 · 9:51 am EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001245791
Table I — non-derivative securities
No Table I lines on this filing.
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)F1,F2 | — | Mar 22, 2016 | D | 1,000 | D | — | Mar 23, 2025 | Common Stock | 1,000 | 0 | D |
Explanation of responses
- F1There is no exercise price associated with the RSU.
- F2The RSU was approved by GI Dynamics, Inc.'s board of directors on March 23, 2015, subject to shareholder approval. Such shareholder approval was received on June 9, 2015. By mutual agreement on March 22, 2016, the Reporting Person forfeited the RSU to the Issuer before the RSU was scheduled to vest in full on March 23, 2016.