X0306 4 2018-08-09 0001027838 TACTILE SYSTEMS TECHNOLOGY INC TCMD 0001024356 ROCHE KEVIN H 1331 TYLER STREET NE, SUITE 200 MINNEAPOLIS MN 55413 1 Common Stock 2018-08-09 4 S 0 1134 58.1919 D 67023 D Common Stock 2018-08-09 4 S 0 1645 59.2454 D 65378 D Common Stock 2018-08-10 4 S 0 12221 57.3667 D 53157 D Reflects the weighted average price of 1,134 shares of common stock of Tactile Systems Technology, Inc. sold by the reporting person in multiple transactions on August 9, 2018 with sale prices ranging from $58.10 to $58.29 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. Reflects the weighted average price of 1,645 shares of common stock of Tactile Systems Technology, Inc. sold by the reporting person in multiple transactions on August 9, 2018 with sale prices ranging from $59.11 to $59.31 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. Reflects the weighted average price of 12,221 shares of common stock of Tactile Systems Technology, Inc. sold by the reporting person in multiple transactions on August 10, 2018 with sale prices ranging from $57.25 to $58.00 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. /s/ Jonathan R. Zimmerman, Attorney-in-Fact 2018-08-13