BOARD OF DIRECTORS AND CORPORATE GOVERNANCE
Our Company was incorporated on March 24, 2003 as a Delaware corporation, with operations based in Lexington, Massachusetts. In September
2011, the Company completed an initial public offering of its CDIs (and underlying shares of common stock) pursuant to a prospectus prepared in accordance with the requirements of Chapter 6D of the Australian Corporations Act 2001 (Cth)
(
Corporations Act
) and filed with the Australian Securities and Investments Commission. Concurrently with the initial public offering, the Company completed a private placement with certain investors. Our shares of common stock
trade on ASX in the form of CDIs. Our CDIs, each currently representing
one-fiftieth
of one share of our common stock, have been listed on ASX under the trading symbol GID since September 7,
2011. Prior to such time there was no public market for our securities.
Board of Directors
The board is responsible for the overall corporate governance of the Company. Issues of substance affecting the Company are considered by the
full board, with advice from external advisers as required. Each director must bring an independent view and judgment to the board and must declare all conflicts of interest. Any issue concerning a director must be provided to the board at a board
meeting as soon as practicable, and directors may not participate in discussions or resolutions pertaining to any matter in which the director has a material personal interest.
The boards role in risk oversight includes receiving reports from senior management and the audit committee on a regular basis regarding
material risks faced by the Company and applicable mitigation strategies and activities. The reports detail the effectiveness of the risk management program and identify and address material business risks such as technological, strategic, business,
operational, financial, human resources and legal/regulatory risks. The board and its committees (described below) consider these reports, discuss matters with management and identify and evaluate any potential strategic or operational risks, and
appropriate activity to address those risks.
The responsibilities of the board are set down in the Companys Board Charter, which
has been prepared having regard to the ASX Corporate Governance Councils ASX Corporate Governance Principles and Recommendations 3rd edition (
ASX Corporate Governance Principles
). A copy of the Companys Board Charter
is available on the Companys website at
www.gidynamics.com
.
Directors of the Registrant
The following table sets forth the name, age and position of each of our directors as of March 15, 2018:
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Name
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Age
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Position
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Daniel J. Moore
(3)
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56
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Non-executive
chairman of the Board
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Timothy J. Barberich
(1)(2)
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70
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Non-executive
Director
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Juliet Thompson
(1)
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51
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Non-executive
Director
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Oern R. Stuge, M.D.
(2)(3)
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63
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Non-executive
Director
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(1)
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Member of the audit committee.
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(2)
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Member of compensation committee.
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(3)
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Member of nominating and corporate governance committee.
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Daniel J. Moore
has
served as a director of the Company since 2014, as our vice-chairman from March 2015 to April 2016 and our chairman since May 2016. Mr. Moores extensive experience in domestic and international sales, operations and executive management
in global medical device manufacturers and years of service on other boards makes him qualified to serve on our board of directors.
Mr. Moore has served as president, chief executive officer and director of Cyberonics, Inc., a medical technology company with core
expertise in neuromodulation, from 2007 to October 2015. From 1989 to 2007, Mr. Moore held positions in sales, marketing, and senior management in the U.S. and in Europe at Boston Scientific Corporation, a diverse maker of minimally invasive
medical products. His last position at Boston Scientific was President, International Distributor Management. Prior to that role, he held the position of President, Inter-Continental, the fourth largest business unit of Boston Scientific, with more
than 1,000 global employees and revenues exceeding $700 million. Mr. Moore previously held senior management positions at several Boston Scientific U.S. and international divisions.
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Mr. Moore currently serves as the chairman of LivaNova PLC (the company resulting from
the merger of Sorin S.p.A. and Cyberonics, Inc.), chairman of ViewRay, a member of the board of directors for the Epilepsy Foundation of America, and as a member of the boards or advisory boards for BioHouston, Inc. and the Weldon School of
Biomedical Engineering at Purdue University. He currently serves on the board of privately-held BrainScope Company, Inc., a medical technology company focused on traumatic brain injury, where he serves as Chairman. Past board positions include
Smiling Kids, Inc., the Epilepsy Foundation of Texas (past-Chair), the Epilepsy Foundation of Texas Houston (past-President), the Medical Device Manufacturers Association (past-Chair), Cyberonics, Inc., Topera, Inc. (acquired by Abbott) and
TriVascular Technologies, Inc. (acquired by Endologix).
Mr. Moore holds a B.A. from Harvard University and earned an MBA from Boston
University.
Timothy J. Barberich
has been a director of the Company since June 2011. Mr. Barberich has nearly 40
years experience in pharmaceutical and medical device companies, in technical, sales, marketing and management positions, including as chief executive officer and chairman of the board. Mr. Barberich is the founder and former president,
chief executive officer and chairman of Sepracor, Inc., a Nasdaq-listed-pharmaceutical company based in Massachusetts, which was acquired by Dainippon Sumitomo Pharma Co., Ltd. in 2009. Mr. Barberich founded Sepracor in 1984 and served as its
chief executive officer from 1984 to 2007 and chairman of the board from 1990 to 2007. From 2007 to 2008, Mr. Barberich served as executive chairman of Sepracor and then chairman of the board from 2008 to 2009. Mr. Barberich led Sepracor
through its early-stage research and development, product approvals, commercialization, private financings and initial public offering, partnerships with major companies, several successful spin-outs and achievement of revenues in excess of
$1 billion. Prior to founding Sepracor, Mr. Barberich spent 10 years as a senior executive at Millipore Corporation, a company that provides separations products to the life science research, pharmaceutical, biotechnology and electronic
markets. Mr. Barberich brings to our board the knowledge and experience of leading a company in the health care industry through every stage of its life cycle. We believe this experience and familiarity with the types of risks we may face,
together with his broad medical device and pharmaceutical industry experience, makes Mr. Barberich uniquely suited to serve on our board.
Mr. Barberich is currently chairman and CEO of BioNevia Pharmaceuticals, Inc. and is a director of Verastem, Inc., a NASDAQ-listed
biotechnology company, and Inotek Pharmaceuticals, Inc., a Nasdaq-listed biopharmaceutical company. Mr. Barberich also serves on the board of several private companies including Neurovance, Inc. and Frequency Therapeutics. Mr. Barberich
was formerly a director of HeartWare International, Inc., a Nasdaq- listed medical device company, Tokai Pharmaceuticals, Inc., a Nasdaq-listed biopharmaceutical company, MirImmune Inc., which was acquired in 2016, BioSphere Medical, Inc., a
Nasdaq-listed biotechnology company and Gemin X Biotechnologies, Inc. and Resolvyx Pharmaceuticals, which were acquired in 2011 and 2010, respectively.
Mr. Barberich holds a Bachelor of Science degree in Chemistry from Kings College in Pennsylvania and has taken graduate courses from the
School of Chemistry at Rutgers University.
Juliet Thompson
has been a director of the Company since August 22, 2017.
Ms. Thompson also assumed the role of chair of the Companys audit committee. Ms. Thompson has spent approximately 20 years working as an investment banker and strategic advisor to healthcare companies in Europe. She has a strong
track record of advising companies on corporate strategy across numerous transactions.
Since March 2015, Ms. Thompson has served on
the board of Nexstim Limited, a medical technology company listed on Nasdaq First North Finland and Sweden. Prior to that, Ms. Thompson led the European healthcare practice at Stifel Financial Corp., a diversified financial service holding
company, serving as a partner from October 2013 to April 2015. In 2003, Ms. Thompson
co-founded
Code Securities, a healthcare investment banking firm that was purchased by Nomura and renamed Nomura Code
Securities Limited (Nomura Code) in 2005, and served as Head of Corporate Finance and as a member of the board of Nomura Code until 2013. She is also currently a
non-executive
director of Vectura
PLC, a company listed on the London Stock Exchange plc, and Novacyt S.A., a French-based company whose shares are admitted to trade on AIM, Ms. Thompson is a member of the Institute of Chartered Accountants in England and Wales (ACA) and holds
a BSc degree in Economics from the University of Bristol. Her experience also includes roles at WestLB Panmure, ICI PLC, Deloitte and Touche and HM Treasury.
Oern R. Stuge, M.D.
has served as a director of the Company since his appointment in January 2017. Dr. Stuges
extensive experience in domestic and international sales, management and operations in a global medical device manufacturer makes him qualified to serve on our board of directors.
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Dr. Stuge has served as an executive in various medical device, health care and life
sciences companies over the last thirty years. Since January 2011, Dr. Stuge has been Chairman of Orsco Lifesciences AG, a management firm that specializes in medical technology through which he supports several companies. Prior to that,
Dr. Stuge served in various positions, including as Senior Vice-President, at Medtronic Inc., from May 1998 to December 2009. Dr. Stuge is currently Chairman of Mainstay Medical Limited, a Euronext Paris-listed and Irish Stock
Exchange-listed medical devices company and Luminas Limited, formerly a Nasdaq-listed medical company. Dr. Stuge also serves on the board of several private companies including Balt Extrusion SAS, Vision Ophthalmology Group Gmbh, Pulmonx
International SA, and Phagenesis Limited. Furthermore, until December 2016, Dr. Stuge served on the board of Bonesupport AB, a private medical technology company.
Dr. Stuge received an M.D. from the University of Oslo, Norway, an M.B.A. from IMD and an INSEAD Certification in Corporate Governance.
Director Independence
Our board of
directors currently consists of four (4) members: Timothy J. Barberich; Daniel J. Moore; Oern R. Stuge, M.D and Juliet Thompson. Our board of directors has determined that all directors are independent. We consider that a director
is an independent director where that director is free from any business or other relationship that could materially interfere, or be perceived to interfere with, the independent exercise of the directors judgment. We have assessed
the independence of our directors regarding the requirements for independence that are set out in Principle 2 of the ASX Corporate Governance Principles. We have also assessed the independence of our directors with respect to the definition of
independence prescribed by Nasdaq. There are no family relationships among our officers and directors, nor are there any arrangements or understandings between any of our directors or officers or any other person pursuant to which any officer or
director was, or is, to be selected as an officer or director.
Committees of the Board of Directors and Meetings
The board of directors presently has the following three standing committees to facilitate and assist the board in fulfilling its
responsibilities: (1) an audit committee, (2) a compensation committee and (3) a nominating and corporate governance committee. The board may also establish other committees from time to time to assist in the discharge of its
responsibilities.
Meeting Attendance.
During the fiscal year ended December 31, 2017 there were six (6) meetings
of our board of directors, and the various committees of the board met a total of thirteen (13) times. No director other than Juliet Thompson who joined the board on August 2017, attended fewer than 75% of the total number of meetings of the
board and of committees of the board on which he or she served during their Board term during fiscal 2017. We encourage all our directors to participate in each annual meeting of stockholders. Five of our directors attended our 2017 annual meeting
of stockholders.
Audit Committee
.
Our audit committee met four (4) times during fiscal 2017. This committee
currently has two (2) members, Juliet Thompson (chair) and Timothy J. Barberich. All members of the Audit Committee satisfy the current independence standards promulgated by the Securities and Exchange Commission (SEC); and by The
Nasdaq Stock Market, as such standards apply specifically to members of audit committees. Our board of directors has determined that Juliet Thompson is an audit committee financial expert, as the SEC has defined that term. Our audit
committees role and responsibilities are set forth in the audit committees written charter, a copy of which is publicly available on our website at
www.gidynamics.com
. The audit committee, among other things, oversees our
corporate accounting and financial reporting, including auditing of our financial statements, reviewing the performance of our internal audit function and the qualifications, independence, performance and terms of engagement of our external auditor.
Compensation Committee
.
Our compensation committee met one (1) time during fiscal 2017. This committee
currently has two (2) members, Timothy J. Barberich (chair) and Dr. Oern Stuge. All members of the compensation committee qualify as independent under the current definition promulgated by The Nasdaq Stock Market. All members of the
compensation committee qualify as independent under the current definition promulgated by the ASX. Our compensation committees role and responsibilities are set forth in the compensation committees written charter, a copy of which is
publicly available on our website at
www.gidynamics.com
. The compensation committee, among other things, establishes, amends, reviews and approves the compensation and benefit plans with respect to our senior management and employees
including
15
determining individual elements of total compensation of our chief executive officer and other members of senior management. The compensation committee is also responsible for reviewing the
performance of our executive officers with respect to these elements of compensation.
Nominating and Corporate Governance
Committee
.
Our nominating and corporate governance committee met twice (2) during fiscal 2017 and has two (2) members, Daniel Moore (chair) and, Oern R. Stuge. All members of the nominating and
corporate governance committee qualify as independent under the current definition promulgated by The Nasdaq Stock Market. All members of the nominating and corporate governance committee qualify as independent under the current definition
promulgated by the ASX. The nominating and corporate governance committees role and responsibilities are set forth in the nominating and corporate governance committees written charter, a copy of which is publicly available on our
website at
www.gidynamics.com
. The nominating and corporate governance committee, among other things, recommends the director nominees for each annual meeting and ensures that the audit, compensation and nominating and corporate governance
committees of the board have the benefit of qualified and experienced independent directors.
In addition, under our current Board
Charter, the nominating and corporate governance committee will review annually the results of the evaluation of the board and its committees, and the needs of the board for various skills, experience, expected contributions and other
characteristics in determining the director candidates to be nominated at the annual meeting. The nominating and corporate governance committee will evaluate candidates for directors proposed by directors, stockholders or management in light of the
committees views of the current needs of the board for certain skills, experience or other characteristics, the candidates background, skills, experience, other characteristics and expected contributions and the qualification standards
established from time to time by the nominating and corporate governance committee. If the nominating and corporate governance committee believes that the board requires additional candidates for nomination, the committee may engage, as appropriate,
a third-party search firm to assist in identifying qualified candidates. All nominees for director positions will submit a completed form of directors and officers questionnaire as part of the nominating process. The process may also
include interviews and additional background and reference checks for nonincumbent nominees, at the discretion of the nominating and corporate governance committee.
The nominating and corporate governance committee will review a reasonable number of candidates for director recommended by a single
stockholder who has held over 5% of our common stock for over one year and who satisfies the notice, information and consent provisions set forth in our bylaws. Candidates so recommended will be reviewed using the same process and standards for
reviewing board recommended candidates. If a stockholder wishes to nominate a candidate for director, it must follow the procedures described in our bylaws and in Stockholder Proposals for 2019 Annual Meeting at the end of this proxy
statement.
Code of Business Conduct and Ethics
We have adopted a code of business conduct and ethics applicable to our directors, executive officers and all other employees. A copy of that
code is available on our corporate website at http://www.gidynamics.com. Any amendments to the code of business conduct and ethics, and any waivers thereto involving our executive officers, also will be available on our corporate website. A printed
copy of these documents will be made available upon request. The content on our website is not incorporated by reference into this proxy statement.
Stockholder Communications to the Board
Communications to directors must be in writing and sent in care of the Companys corporate secretary to GI Dynamics, Inc., Post Office
Box 51915, Boston, Massachusetts 02205, U.S.A., Attention: Corporate Secretary or delivered via
e-mail
to corporatesecretary@gidynamics.com. The name(s) of any specific intended board recipient(s) should be
noted in the communication.
A copy of each communication received since the date of the last board meeting shall be distributed to each
director in advance of each regularly scheduled board meeting, except items that are unrelated to the duties and responsibilities of the board, such as: spam, junk mail and mass mailings, business solicitations and advertisements, and communications
that advocate the Companys engaging in illegal activities or that, under community standards, contain offensive, scurrilous or abusive content.
The Companys corporate secretary shall be responsible for and oversee the receipt and processing of stockholder communications to board
members. An acknowledgement of receipt shall be sent by the corporate
16
strategic consulting practice under the name of SSMC. From February 2009 to May 2010, Mr. Schorer led the turnaround effort at Systagenix Wound Management, the former Advanced Wound Care
division of Johnson & Johnson, as President of the Americas. Prior to that, Mr. Schorer founded and led IST: Innovative Spinal Technologies, where he served as CEO for eight years until February 2009, during which time IST received CE
Mark and FDA approvals for five products before the company was sold to Integra Spine. Prior to IST, he
co-
founded and was CEO of CentriMed, leading to an acquisition by Global Healthcare Exchange
(GHX). Mr. Schorer began his medical device career as a sales representative for a surgical distributor following his career as an infantry officer in the 82nd Airborne Division as a rifle and scout platoon leader. He has led
financing for over $120 million in public and private equity financings. Mr. Schorer is also a
co-inventor
of 6 patents, and holds Bachelor of Arts and Bachelor of Engineering degrees from Dartmouth
College, where he was also captain of the mens crew.
Brian Callahan Chief Compliance Officer
Brian Callahan has served as our chief compliance officer since May 2016. Mr. Callahan is an accomplished senior compliance executive
with more than 25 years of experience in the medical device, pharmaceutical and biologics industries. Prior to joining GI Dynamics, Mr. Callahan was consulting from 2012 to 2016 with Vertex Pharmaceuticals as a senior compliance advisor and the
FDA as a third-party certifier for an international project in Russia, Ukraine, and the United States. Prior to that Brian was an Executive Vice President of Clinical, Quality and Regulatory Affairs at Histogenics Corporation from April 2010 to
September 2012, where he was instrumental in raising $49 million to restart the NeoCart Pivotal Phase III study. Prior to joining Histogenics, Brian was consulting for
8-years
for Pharmaceutical, Medical
Device, and Biologic global companies. In 2002, Mr. Callahan founded EEC & Associates, a global compliance consulting company providing clinical, regulatory and quality services to domestic and international life science
companies. He began his career in the United States Army as a nuclear weapons specialist and has experience working for Johnson & Johnson, Covidien and Quintiles. Mr. Callahan has a BS in Electrical Engineering Technology from
Fitchburg State University.
Dave Bruce Director, Finance
Mr. Bruce has served as our Director, Finance, since April 2018 and, prior to that, as our General Accounting Manager since October 2016. Mr.
Bruce served as Accounting Manager at Nutraclick LLC from April 2014 to October 2016 and, before that, as a consultant at Triton Resources from July 2010 to April 2014, where he acted as Controller for several companies in the biotechnology
industry, including GNS Healthcare, Broad Institute, Stromedix and Daktari Diagnostics. Mr. Bruce has more than 15 years of accounting experience in the pharmaceutical, health and wellness, and fast casual restaurant industries, and holds both a BS
in Accounting and an MBA with a concentration in Finance from Northeastern University.
18
OTHER MATTERS
The board of directors knows of no other business which will be presented to the Annual Meeting. If any other business is properly brought
before the Annual Meeting, proxies will be voted in accordance with the judgment of the persons named therein.
Boston, Massachusetts
May 1, 2018
33
*X99999999999* X99999999999 GID PRX1803A *GID PRX1803A* I/We being a member(s) of GI
Dynamics, Inc and entitled to attend and vote hereby appoint: PROXY FORM STEP 1 or failing the person or body corporate named, or if no person or body corporate is named, the Chairman of the Meeting, as my/our proxy to act on my/our behalf
(including to vote in accordance with the following directions or, if no directions have been given and to the extent permitted by the law, as the proxy sees fit) at the Annual General Meeting to be held at 6:00pm (USEDT) on Monday, 21 May 2018
at the offices of Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C., One Financial Center, Boston, MA 02111, United States (which is on Tuesday, 22 May 2018 at 8:00 a.m., AEST), (the Meeting) and at any postponement or adjournment of the
Meeting. The Chairman of the Meeting intends to vote undirected proxies in favour of each item of business. the Chairman of the Meeting (mark box) OR if you are NOT appointing the Chairman of the Meeting as your proxy, please write the name of the
person or body corporate you are appointing as your proxy APPOINT A PROXY STEP 3 This form should be signed by the securityholder. If a joint holding, all securityholders must sign. If signed by the securityholders attorney, the power of
attorney must have been previously noted by the registry or a certified copy attached to this form. If executed by a company, the form must be executed in accordance with the companys constitution and the Corporations Act 2001 (Cth).
Securityholder 1 (Individual) Joint Securityholder 2 (Individual) Joint Securityholder 3 (Individual) Sole Director and Sole Company Secretary Director/Company Secretary (Delete one) Director SIGNATURE OF SECURITYHOLDERS THIS MUST BE
COMPLETED STEP 2 Proxies will only be valid and accepted by the Company if they are signed and received no later than 48 hours before the Meeting. Please read the voting instructions overleaf before marking any boxes with an T * If you mark the
Abstain box for a particular Item, you are directing your proxy not to vote on your behalf on a show of hands or on a poll and your votes will not be counted in computing the r equired majority on a poll. 1 Elect one Class I Director 2 Approve
Non-Executive
Director Stock Option Grant 3 Approve an Additional 10% Placement Capacity Proposals For Against Abstain* VOTING DIRECTIONS LODGE YOUR VOTE ONLINE www.linkmarketservices.com.au * BY MAIL (in AUSTRALIA)
GI Dynamics, Inc. C/- Link Market Services Limited Locked Bag A14, Sydney South NSW 1235 Australia BY MAIL (in USA) GI Dynamics, Inc. C/- American Stock Transfer and Trust Company LLC Operations Center, 6201 15th Avenue, Brooklyn, NY 11219 USA BY
HAND (in AUSTRALIA) Link Market Services Limited Level 12, 680 George Street, Sydney NSW 2000 BY HAND (in USA) American Stock Transfer & Trust Company LLC Operations Center, 6201 15th Avenue, Brooklyn, NY 11219 7 BY FAX +61 2 9287 0309
© ALL ENQUIRIES TO Telephone: +61 1800 770 850 (free call within Australia) ARBN 151 239 388
HOW TO COMPLETE THIS SECURITYHOLDER PROXY FORM YOUR NAME AND ADDRESS This is your name
and address as it appears on the Companys security register. If this information is incorrect, please make the correction on this Proxy Card. Securityholders sponsored by a broker should advise their broker of any changes. Please note: you
cannot change ownership of your securities using this form. APPOINTMENT OF PROXY If you wish to appoint the Chairman of the Special Meeting as your proxy, mark the box in Step 1 of this Proxy Card. If the person you wish to appoint as your proxy is
someone other than the Chairman of the Special Meeting please write the name of that person in Step 1. If you leave this section blank, or your named proxy does not attend the Special Meeting, the Chairman of the Special Meeting will be your proxy.
A proxy need not be a securityholder of the Company. A proxy may be an individual or a body corporate. VOTES ON ITEMS OF BUSINESS PROXY APPOINTMENT You may direct your proxy how to vote by placing a mark in one of the boxes opposite each item
of business. All your securities will be voted in accordance with such a direction unless you indicate only a portion of voting rights are to be voted on any item by inserting the percentage or number of securities you wish to vote in the
appropriate box or boxes. If you do not mark any of the boxes on the items of business, your proxy may vote as he or she chooses. If you mark more than one box on an item your vote on that item will be invalid. APPOINTMENT OF A SECOND PROXY You are
entitled to appoint up to two persons as proxies to attend the Special Meeting and vote on a poll. If you wish to appoint a second proxy, an additional Proxy Card may be obtained by telephoning the Companys security registry or you may copy
this Proxy Card and return them both together. To appoint a second proxy you must: (a) on each of the first Proxy Card and the second Proxy Card state the percentage of your voting rights or number of securities applicable to that Proxy Card.
If the appointments do not specify the percentage or number of votes that each proxy may exercise, each proxy may exercise half your votes. Fractions of votes will be disregarded; and (b) return both forms together. SIGNING INSTRUCTIONS You
must sign this form as follows in the spaces provided: Individual: where the holding is in one name, the holder must sign. Joint Holding: where the holding is in more than one name, all of the holders should sign. Power of Attorney: to sign under
Power of Attorney, you must lodge the Power of Attorney with Link. If you have not previously lodged this document for notation, please attach a certified photocopy of the Power of Attorney to this Proxy Card when you return it. Companies: with
respect to an Australian company, where the company has a Sole Director who is also the Sole Company Secretary, this Proxy Card must be signed by that person. If the company (pursuant to section 204A of the Corporations Act 2001) does not have a
Company Secretary, a Sole Director can also sign alone. Otherwise this Proxy Card must be signed by a Director jointly with either another Director or a Company Secretary. Please indicate the office held by signing in the appropriate place. With
respect to a U.S. company or other entity, this Proxy Card may be signed by one officer. Please give full name and title under the signature. CORPORATE REPRESENTATIVES If a representative of the corporation is to attend the Meeting the appropriate
Certificate of Appointment of Corporate Representative should be produced prior to admission in accordance with the Notice of Meeting. A form of the certificate may be obtained from the Companys security registry or online at
www.linkmarketservices.com.au. IF YOU WOULD LIKE TO ATTEND AND VOTE AT THE SPECIAL MEETING, PLEASE BRING THIS FORM WITH YOU. THIS WILL ASSIST IN REGISTERING YOUR ATTENDANCE. LODGEMENT OF A PROXY FORM This Proxy Form (and any Power of Attorney under
which it is signed) must be received at an address given below by 8:00am on Sunday, 20 May 2018 (AEST) (which is 6:00pm on Saturday, 19 May 2018 USEDT). Any Proxy Card received after that time will be invalid. Proxy Cards may be lodged
using the reply paid envelope, or: ONLINE www.linkmarketservices.com.au Login to the Link website using the holding details as shown on the Proxy Form. Select Voting and follow the prompts to lodge your vote. To use the online lodgement
facility, securityholders will need their Holder Identifier (Securityholder Reference Number (SRN) or Holder Identification Number (HIN) as shown on the front of the Proxy Form). BY MOBILE DEVICE Our voting website is designed
specifically for voting online. You can now lodge your instruction by scanning the QR code adjacent or enter the vot ing link www.linkmarketservices.com.au into your mobile device. Log in using the Holder Identifier and postcode for your
shareholding. QR Code To scan the code you will need a QR code reader application which can be downloaded for free on your mobile device. * BY MAIL (in AUSTRALIA) GI Dynamics, Inc. C/- Link Market Services Limited Locked Bag A14 Sydney South NSW
1235 Australia BY MAIL (in USA) GI Dynamics, Inc. C/- American Stock Transfer and Trust Company LLC Operations Center 6201 15th Avenue Brooklyn, NY 11219 USA 7 BY FAX +61 2 9287 0309 BY HAND (in AUSTRALIA) delivering it to: Link Market Services
Limited* Level 12, 680 George Street Sydney NSW 2000 BY HAND (in USA) American Stock Transfer & Trust Company LLC Operations Center, 6201 15th Avenue, Brooklyn, NY 11219 USA * in business hours (Monday to Friday, 9:00am5:00pm)
STEP 3 * If you do not mark the For, Against or
Abstain box y our vote will not be counted. 1 Elect one Class I Director 2 Approve
Non-Executive
Director Stock Option Grant 3 Approve an Additional 10% Placement Capacity Proposals For
Against Abstain* VOTING INSTRUCTIONS STEP 2 Link will then send you a legal form of proxy which will grant you or the person specified by you the right to attend and vote at the Meeting. Please remember that a legal proxy is subject to all terms and
conditions that apply to proxies as outlined in the Notice of Special Meeting including any cut off time for receipt of valid proxies. PROXY APPOINTMENT this only needs to be completed if you wish to attend the Meeting or appoint another
person to attend the Meeting If you wish to attend the Meeting in person or appoint another person or company other than CDN, who need not be a stockholder, to attend and act on your behalf at the Meeting or any adjournment or postponement thereof,
please insert their name(s) in this box. Voting instructions will only be valid and accepted by CDN if they are signed and received no later than 72 hours before the Meeting. Please read the voting instructions overleaf before marking any boxes with
an T *X99999999999* X99999999999 GID PRX1802I *GID PRX1802I* CDI VOTING INSTRUCTION FORM STEP 1 I/We being a holder of CHESS Depositary Interests (CDIs) of GI Dynamics, Inc (Company) hereby direct CHESS Depositary Nominees Pty Ltd (CDN) to vote the
shares underlying my/our CDI holding at the Annual General Meeting of stockholders of the Company to be held at 6:00pm (USEDT) on Monday, 21 May 2018 at the offices of Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C., One Financial Center,
Boston, MA 02111, United States (which is on Tuesday, 22 May 2018 at 8:00 a.m., AEST), and at any adjournment or postponement of that Meeting, in accordance with the following directions. By execution of this CDI Voting Instruction Form the
undersigned hereby authorises CDN to appoint such proxies or their substitutes in their discretion to vote in accordance with the directions set out below. DIRECTION TO CHESS DEPOSITARY NOMINEES PTY LTD STEP 4 SIGNATURE OF CDI HOLDERS THIS
MUST BE COMPLETED This form should be signed by the CDI Holder in accordance with the instructions overleaf. CDI Holder 1 (Individual) Joint CDI Holder 2 (Individual) Joint CDI Holder 3 (Individual) Sole Director and Sole Company Secretary
Director/Company Secretary (Delete one) Director LODGE YOUR VOTE ONLINE www.linkmarketservices.com.au * BY MAIL (in AUSTRALIA) GI Dynamics, Inc. C/- Link Market Services Limited Locked Bag A14, Sydney South NSW 1235 Australia BY MAIL (in USA) GI
Dynamics, Inc. C/- American Stock Transfer and Trust Company LLC Operations Center, 6201 15th Avenue, Brooklyn, NY 11219 USA BY HAND (in AUSTRALIA) Link Market Services Limited Level 12, 680 George Street, Sydney NSW 2000 BY HAND (in USA)
American Stock Transfer & Trust Company LLC Operations Center, 6201 15th Avenue, Brooklyn, NY 11219 7 BY FAX +61 2 9287 0309 © ALL ENQUIRIES TO Telephone: +61 1800 770 850 (free call within Australia) ARBN 151 239 388
HOW TO COMPLETE THIS CDI VOTING INSTRUCTION FORM YOUR NAME AND ADDRESS This is your
name and address as it appears on the Companys CDI register. If this information is incorrect, please make the correction on the form. CDI Holders sponsored by a broker should advise their broker of any changes. Please note: you cannot change
ownership of your CDIs using this form. DIRECTION TO CHESS DEPOSITARY NOMINEES PTY LTD Each CHESS Depositary Interest (CDI) is evidence of an indirect ownership in the Companys shares of common stock (Shares). Each CDI is equivalent to
one-fiftieth
of a Share of the Company so that every fifty (50) CDIs that you own as at 5:00pm on Saturday, 31 March 2018 (AEST) (which 3:00am on Saturday, 31 March 2018 (USEDT), entitles you to one
(1) vote. The underlying Shares are registered in the name of CHESS Depositary Nominees Pty Ltd (CDN). As holders of CDIs are not the legal owners of the Shares, CDN is entitled to vote at the Annual Meetings of Stockholders on the instruction
of the registered holders of the CDIs. APPOINTMENT OF PROXY If you wish to appoint the Chairman of the Annual Meeting as your proxy, mark the box in Step 1 of this Proxy Card. If the person you wish to appoint as your proxy is someone other than the
Chairman of the Annual Meeting please write the name of that person in Step 1. If you leave this section blank, or your named proxy does not attend the Annual Meeting, the Chairman of the Annual Meeting will be your proxy. A proxy need not be a
securityholder of the Company. A proxy may be an individual or a body corporate. VOTES ON ITEMS OF BUSINESS PROXY APPOINTMENT You may direct your proxy how to vote by placing a mark in one of the boxes opposite each item of business. All your
securities will be voted in accordance with such a direction unless you indicate only a portion of voting rights are to be voted on any item by inserting the percentage or number of securities you wish to vote in the appropriate box or boxes. If you
do not mark any of the boxes on the items of business, your proxy may vote as he or she chooses. If you mark more than one box on an item your vote on that item will be invalid. SIGNING INSTRUCTIONS You must sign this form as follows in the spaces
provided: Individual: where the holding is in one name, the holder must sign. Joint Holding: where the holding is in more than one name, all of the holders should sign. Power of Attorney: to sign under Power of Attorney, you must lodge the Power of
Attorney with Link. If you have not previously lodged this document for notation, please attach a certified photocopy of the Power of Attorney to this form when you return it. Companies: with respect to an Australian company, where the company has a
Sole Director who is also the Sole Company Secretary, this form LODGEMENT OF A PROXY FORM This CDI Voting Instruction Form (and any Power of Attorney under which it is signed) must be received at an address given below by 8:00am on Saturday,
19 May 2018 (AEST) (which is 6:00pm on Friday, 18 May 2018 USEDT). Any CDI Voting Instruction Form received after that time will be invalid. CDI Voting Instruction Forms may be lodged using the reply paid envelope or: ONLINE
www.linkmarketservices.com.au Login to the Link website using the holding details as shown on the CDI Voting Instruction Form. Select Voting and follow the prompts to lodge your vote. To use the online lodgement facility, stockholders
will need their Holder Identifier (Securityholder Reference Number (SRN) or Holder Identification Number (HIN) as shown on the front of the CDI Voting Instruction Form). BY MOBILE DEVICE Our voting website is designed specifically for
voting online. You can now lodge your instruction by scanning the QR code adjacent or enter the voting link www.linkmarketservices.com.au into your mobile device. Log in using the Holder Identifier and postcode for your shareholding. QR Code To scan
the code you will need a QR code reader application which can be downloaded for free on your mobile device. * BY MAIL (in AUSTRALIA) GI Dynamics, Inc. C/- Link Market Services Limited Locked Bag A14 Sydney South NSW 1235 Australia BY MAIL (in USA)
GI Dynamics, Inc. C/- American Stock Transfer and Trust Company LLC Operations Center 6201 15th Avenue Brooklyn, NY 11219 USA 7 BY FAX +61 2 9287 0309 BY HAND (in AUSTRALIA) delivering it to: Link Market Services Limited* Level 12, 680 George
Street Sydney NSW 2000 BY HAND (in USA) American Stock Transfer & Trust Company LLC Operations Center, 6201 15th Avenue, Brooklyn, NY 11219 USA * in business hours (Monday to Friday, 9:00am5:00pm)