Annual Statement of Changes in Beneficial Ownership (5)
February 12 2021 - 05:39PM
Edgar (US Regulatory)
FORM 5
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5
obligations may continue. See Instruction 1(b).
[ ] Form 3 Holdings Reported
[ ] Form 4 Transactions Reported
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
ANNUAL STATEMENT OF CHANGES IN BENEFICIAL
OWNERSHIP OF SECURITIES
|
OMB APPROVAL
OMB Number: 3235-0362
Estimated average burden
hours per response... 1.0 |
|
Filed pursuant to Section 16(a) of the
Securities Exchange Act of 1934 or Section 30(h) of the Investment
Company Act of 1940
|
|
1. Name
and Address of Reporting Person * KINGSLEY ALFRED
D |
2. Issuer Name and Ticker or Trading
SymbolLineage Cell Therapeutics, Inc. [LCTX] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)__X__
Director _____
10% Owner
_____ Officer (give title
below) _____ Other
(specify below)
|
(Last)
(First)
(Middle)
C/O LINEAGE CELL THERAPEUTICS, 2173 SALK AVENUE, SUITE
200 |
3. Statement for Issuer's Fiscal Year Ended
(MM/DD/YYYY)
12/31/2020
|
(Street)
CARLSBAD,, CA 92008
(City)
(State)
(Zip)
|
4. If Amendment, Date Original
Filed(MM/DD/YYYY)
|
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. Trans. Date |
2A. Deemed Execution Date, if any |
3. Trans. 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) |
Amount |
(A) or (D) |
Price |
Common Shares, no par value |
12/1/2020 (1) |
|
G |
17500 |
D |
(1) |
5408445 |
D |
|
Common Shares, no par value |
|
|
|
|
|
|
1043346 |
I |
By Corporation (2) |
Common Shares, no par value |
|
|
|
|
|
|
375351 |
I |
By LP (3) |
Table II - Derivative Securities Acquired, Disposed of, or
Beneficially Owned (e.g., puts, calls, warrants, options,
convertible securities)
|
1. Title of Derivate Security
(Instr. 3) |
2. Conversion or Exercise Price of Derivative
Security |
3. Trans. Date |
3A. Deemed Execution Date, if any |
4. Trans. 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
(MM/DD/YYYY) |
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 at End of Issuer's Fiscal Year
(Instr. 4) |
10. Ownership Form of Derivative Security: 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 |
Explanation of
Responses: |
(1) |
During December 2020, Mr.
Kingsley gifted a total of 17,500 common shares. |
(2) |
Held by Greenbelt
Corporation, of which Mr. Kingsley is an executive officer,
director, and controlling shareholder. Mr. Kingsley disclaims
beneficial ownership of these shares, except to the extent of his
pecuniary interest. |
(3) |
Held by Greenway Partners,
LP, of which Mr. Kingsley is the General Partner and has sole
voting and dispositive control. |
Reporting
Owners
|
Reporting Owner Name / Address |
Relationships
|
Director |
10% Owner |
Officer |
Other |
KINGSLEY ALFRED D
C/O LINEAGE CELL THERAPEUTICS
2173 SALK AVENUE, SUITE 200
CARLSBAD,, CA 92008 |
X |
|
|
|
Signatures
|
/s/ Chase C. Leavitt, as
Attorney-in-Fact |
|
2/12/2021 |
**Signature of
Reporting Person |
Date |