X0306 4 2018-05-10 0001027838 TACTILE SYSTEMS TECHNOLOGY INC TCMD 0001024356 ROCHE KEVIN H 1331 TYLER STREET NE, SUITE 200 MINNEAPOLIS MN 55413 1 Common Stock 2018-05-10 4 S 0 15000 44.412 D 66784 D Common Stock 2018-05-10 4 A 0 1373 0 A 68157 D Employee Stock Option (right to buy) 45.52 2018-05-10 4 A 0 3713 0 A 2025-05-10 Common Stock 3713 3713 D Reflects the weighted average price of 15,000 shares of common stock of Tactile Systems Technology, Inc. sold by the reporting person in multiple transactions on May 10, 2018 with sale prices ranging from $44.25 to $44.62 per share. The reporting person undertakes to provide upon request by the U.S. Securities and Exchange Commission staff, the issuer, or a security holder of the issuer, full information regarding the number of shares sold at each separate price. The restricted stock units will vest in full on the earlier of one year from the grant date or the date of the next year's annual meeting of the stockholders. The options will vest in full on the earlier of one year from the grant date or the date of the next year's annual meeting of the stockholders. /s/ Jonathan R. Zimmerman, Attorney-in-Fact 2018-05-14