X0306 4 2016-03-22 0 0001245791 GI DYNAMICS, INC. GID 0001502902 Keating Anne 25 HARTWELL AVENUE LEXINGTON MA 02421 1 0 0 0 Restricted Stock Unit (RSU) 2016-03-22 4 D 0 1000 0.00 D 2025-03-23 Common Stock 1000 0 D There is no exercise price associated with the RSU. The RSU was approved by GI Dynamics, Inc.'s board of directors on March 23, 2015, subject to shareholder approval. Such shareholder approval was received on June 9, 2015. By mutual agreement on March 22, 2016, the Reporting Person forfeited the RSU to the Issuer before the RSU was scheduled to vest in full on March 23, 2016. /s/ Robert Solomon, attorney-in-fact 2016-03-24