SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

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).
1. Name and Address of Reporting Person*
Hagenbuch John J

(Last) (First) (Middle)
C/O MICROISLET, INC.
6370 NANCY RIDGE DRIVE, SUITE 112

(Street)
SAN DIEGO CA 92121

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
MICROISLET INC [ MII ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
09/30/2006
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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 Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 09/30/2006 J 292,307 A $0(1) 1,929,507 I By trust(2)
Common Stock 10/03/2006 X 228,880 A $1 2,158,387 I By trust(2)
Common Stock 1,758,772 I By Jackson Street Partners(3)
Common Stock 10,000 I By minor children(4)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Warrant (right to buy) $1 09/30/2006 J 96,153 03/16/2004 03/16/2009 Common Stock 96,153 $0(5) 96,153 I By trust(2)
Warrant (right to buy) $1 10/03/2006 X 228,880 10/31/2003 10/31/2006 Common Stock 228,880 $0 0 I By trust(2)
Explanation of Responses:
1. 292,307 shares of common stock were transferred to John Hagenbuch, Trustee U/D/T September 13, 1995, by third parties pursuant to a private business agreement.
2. Holdings of John Hagenbuch, Trustee U/D/T September 13, 1995. The reporting person disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein.
3. Holdings of Jackson Street Partners, of which the reporting person is the managing partner. The reporting person disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein.
4. Holdings of the reporting person's minor children. The reporting person disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein.
5. A warrant to purchase 96,153 shares of common stock was transferred to John Hagenbuch, Trustee U/D/T September 13, 1995, by a third party pursuant to a private business agreement.
/s/ John J. Hagenbuch 10/03/2006
** 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.