X0306 4 2019-06-25 0001027838 TACTILE SYSTEMS TECHNOLOGY INC TCMD 0001649328 Rishe Bryan 1331 TYLER STREET NE, SUITE 200 MINNEAPOLIS MN 55413 1 SVP, Sales Common Stock 2019-06-25 4 M 0 4812 1.55 A 50674 D Common Stock 2019-06-25 4 S 0 2725 53.4448 D 47949 D Common Stock 2019-06-25 4 S 0 2087 54.3094 D 45862 D Employee Stock Option (right to buy) 1.55 2019-06-25 4 M 0 4812 0 D 2021-04-20 Common Stock 4812 25836 D Stock option exercise effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on May 9, 2019. Sales effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on May 9, 2019. Reflects the weighted average price of 2,725 shares of common stock of Tactile Systems Technology, Inc. sold by the reporting person in multiple transactions on June 25, 2019 with sale prices ranging from $53.035 to $54.01 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 2,087 shares of common stock of Tactile Systems Technology, Inc. sold by the reporting person in multiple transactions on June 25, 2019 with sale prices ranging from $54.04 to $54.95 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 2019-06-27