X0306 4 2017-05-19 0001027838 TACTILE SYSTEMS TECHNOLOGY INC TCMD 0001649528 Mattys Gerald R. 1331 TYLER STREET NE, SUITE 200 MINNEAPOLIS MN 55413 1 1 Chief Executive Officer Common Stock 2017-05-19 4 M 0 20000 0.51 A 332400 D Common Stock 2017-05-19 4 S 0 6685 23.2834 D 325715 D Common Stock 2017-05-19 4 S 0 8056 24.0298 D 317659 D Common Stock 2017-05-19 4 S 0 5259 24.8575 D 312400 D Employee Stock Option (right to buy) 0.51 2017-05-19 4 M 0 20000 0 D 2018-02-26 Common Stock 20000 118294 D Includes 5,000 shares acquired on May 15, 2017 pursuant to the issuer's employee stock purchase plan. Sales effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on March 13, 2017. Reflects the weighted average price of 6,685 shares of common stock of Tactile Systems Technology, Inc. sold by the reporting person in multiple transactions on May 19, 2017 with sale prices ranging from $22.56 to $23.56 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 8,056 shares of common stock of Tactile Systems Technology, Inc. sold by the reporting person in multiple transactions on May 19, 2017 with sale prices ranging from $23.57 to $24.51 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 5,259 shares of common stock of Tactile Systems Technology, Inc. sold by the reporting person in multiple transactions on May 19, 2017 with sale prices ranging from $24.59 to $25.02 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. Fully vested. /s/ Jonathan R. Zimmerman, Attorney-in-Fact 2017-05-23