| FORM 5 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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| Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). | |||||||||||||||||
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Form 3 Holdings Reported. | ||||||||||||||||
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Form 4 Transactions Reported. | ||||||||||||||||
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
Neuralstem, Inc. [ NRLS.OB ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Statement for Issuer's Fiscal Year Ended
(Month/Day/Year) 12/31/2006 | ||||||||||||||||||||||||||
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4. If Amendment, Date of Original Filed
(Month/Day/Year) 01/29/2007 |
6. Individual or Joint/Group Filing (Check Applicable Line)
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| Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | |||||||||||||||
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| 1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned at end of Issuer's Fiscal Year (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||||||
| Amount | (A) or (D) | Price | |||||||||||||
| Common Stock | 11/01/2006 | G4 | 12,000 | D | $0 | 2,072,584 | D | ||||||||
| Common Stock | 11/01/2006 | G4 | 12,000 | D | $0 | 2,060,584 | D | ||||||||
| Common Stock | 11/01/2006 | G4 | 12,000 | D | $0 | 2,048,584 | D | ||||||||
| Common Stock | 11/01/2006 | G4 | 12,000 | D | $0 | 2,036,584 | D | ||||||||
| Common Stock | 11/01/2006 | G4 | 12,000 | D | $0 | 2,024,584 | D | ||||||||
| Common Stock | 11/01/2006 | G4 | 12,000 | D | $0 | 2,012,584 | D | ||||||||
| Common Stock | 11/01/2006 | G4 | 12,000 | D | $0 | 2,000,584 | D | ||||||||
| Common Stock | 11/01/2006 | G4 | 12,000 | D | $0 | 1,988,584 | D | ||||||||
| Common Stock | 11/01/2006 | G4 | 12,000 | D | $0 | 1,976,584 | D | ||||||||
| Common Stock | 11/01/2006 | G4 | 12,000 | D | $0 | 1,964,584 | D | ||||||||
| Common Stock | 11/01/2006 | G4 | 12,000 | D | $0 | 1,952,584 | D | ||||||||
| Common Stock | 11/01/2006 | G4 | 12,000 | D | $0 | 1,940,584 | D | ||||||||
| Common Stock | 11/01/2006 | G4 | 12,000 | D | $0 | 1,928,584 | D | ||||||||
| Common Stock | 11/01/2006 | G4 | 12,000 | D | $0 | 1,916,584 | D | ||||||||
| Common Stock | 11/01/2006 | G4 | 12,000 | D | $0 | 1,904,584 | D | ||||||||
| Common Stock | 11/01/2006 | G4 | 12,000 | D | $0 | 1,892,584 | D | ||||||||
| Common Stock | 11/01/2006 | G4 | 12,000 | D | $0 | 1,880,584 | D | ||||||||
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Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | ||||||||||||||
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| 1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
| (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | |||||||||
| Comon Stock Option | $0.5 | 3(1)(2) | 07/28/2006 | 07/27/2015 | Common Stock | 300,000 | 300,000 | D | ||||||
| Comon Stock Option | $0.5 | 3(1)(2) | 07/28/2007 | 07/27/2015 | Common Stock | 300,000 | 300,000 | D | ||||||
| Comon Stock Option | $0.5 | 3(1)(2) | 07/28/2008 | 07/27/2015 | Common Stock | 300,000 | 300,000 | D | ||||||
| Comon Stock Option | $0.5 | 3(1)(2) | 07/28/2009 | 07/27/2015 | Common Stock | 300,000 | 300,000 | D | ||||||
| Explanation of Responses: |
| 1. The Reporting Person became obligated to file Form 3 on August 30, 2006 as a result of the SEC declaring the company's registration statement filed on Form SB-2 effective. |
| 2. On July 28, 2005, Reporting Person was granted options to purchase 1,200,000 common shares. The options vest annually at a rate of 300,000 per year and expire if not exercised within 10 years of issuance. The options are subject to certain accelerated vesting conditions more accurately described in the Company's filings with the Securities and Exchange Commission. |
| /s/ Karl Johe | 02/12/2007 | |
| ** Signature of Reporting Person | Date | |
| Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
| * If the form is filed by more than one reporting person, see Instruction 4 (b)(v). | ||
| ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
| Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
| Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. | ||