X0306 4 2019-05-10 0001027838 TACTILE SYSTEMS TECHNOLOGY INC TCMD 0001649532 Folkes Robert J. 1331 TYLER STREET NE, SUITE 200 MINNEAPOLIS MN 55413 1 Chief Operating Officer Common Stock 2019-05-10 4 F 0 1739 55.49 D 107415 D Common Stock 2019-05-13 4 M 0 2500 0.96 A 109915 D Common Stock 2019-05-13 4 S 0 1574 53.2523 D 108341 D Common Stock 2019-05-13 4 S 0 926 54.39920 D 107415 D Employee Stock Option (right to buy) 0.96 2019-05-13 4 M 0 2500 0 D 2023-10-13 Common Stock 2500 7500 D Consists entirely of shares of stock withheld by the issuer to satisfy the reporting person's tax withholding obligation upon the vesting of restricted stock units. Stock option exercise effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on December 9, 2018. Sales effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on December 9, 2018. Reflects the weighted average price of 1,574 shares of common stock of Tactile Systems Technology, Inc. sold by the reporting person in multiple transactions on May 13, 2019 with sale prices ranging from $52.925 to $53.64 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 926 shares of common stock of Tactile Systems Technology, Inc. sold by the reporting person in multiple transactions on May 13, 2019 with sale prices ranging from $54.07 to $54.89 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 2019-05-14