Sec Form 3 Filing - Alessi Nicholas @ NeuroMetrix, Inc. - 2004-07-21

Insider filing report for Changes in Beneficial Ownership
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FORM 3
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
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, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Alessi Nicholas
2. Issuer Name and Ticker or Trading Symbol
NeuroMetrix, Inc. [ NURO]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
Director of Finance, Treasurer
(Last) (First) (Middle)
C/O NEURIMETRIX, INC., 62 FOURTH AVENUE
3. Date of Earliest Transaction (MM/DD/YY)
07/21/2004
(Street)
WALTHAM, MA02451
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 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
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 (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 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
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(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 of Derivative Security: 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
Stock Options (right to buy Common Stock) $ 1.35 ( 1 ) 11/01/2010 Common Stock 5,000 D
Stock Options (right to buy Common Stock) $ 1.35 ( 2 ) 01/15/2011 Common Stock 156 D
Stock Options (right to buy Common Stock) $ 2.25 ( 3 ) 01/01/2013 Common Stock 1,073 D
Stock Options (right to buy Common Stock) $ 2.25 ( 4 ) 09/18/2013 Common Stock 10,000 D
Stock Options (right to buy Common Stock) $ 2.25 ( 5 ) 01/15/2012 Common Stock 208 D
Stock Options (right to buy Common Stock) $ 4.48 ( 6 ) 03/01/2014 Common Stock 2,500 D
Stock Options (right to buy Common Stock) $ 6 ( 8 ) ( 7 ) 06/02/2014 Common Stock 5,000 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Alessi Nicholas
C/O NEURIMETRIX, INC.
62 FOURTH AVENUE
WALTHAM, MA02451
Director of Finance, Treasurer
Signatures
/s/ Nicholas J Alessi 07/21/2004
Signature of Reporting Person Date
Explanation of Responses:
( 1 )This option vests in four equal annual installments beginning on November 1, 2001. If the executive officer's employment is terminated on or after November 1, 2001, the option may be exercised for 1/48th of the total option for each full calendar month the executive officer has been employed by NeuroMetrix, Inc. (the "Company") since November 1, 2000.
( 2 )This option vests in 36 monthly installments beginning January 15, 2001.
( 3 )This option vests in four equal annual installments beginning on January 1, 2004. If the executive officer's employment is terminated on or after January 1, 2004, the option may be exercised for 1/48th of the total option for each full calendar month the executive officer has been employed by the Company since January 1, 2003.
( 4 )This option vests in four equal annual installments beginning on November 1, 2005. If the executive officer's employment is terminated on or after November 1, 2005, the option may be exercised for 1/48th of the total option for each full calendar month the executive officer has been employed by the Company since November 1, 2004.
( 5 )This option vests in 36 monthly installments beginning January 15, 2002.
( 6 )This option vests in four equal annual installments beginning on March 1, 2005. If the executive officer's employment is terminated on or after March 1, 2005, the option may be exercised for 1/48th of the total option for each full calendar month the executive officer has been employed by the Company since March 1, 2004
( 7 )This option vests as follows: 25% on June 2, 2005 and 1/16th per quarter thereafter.
( 8 )In the event the Company completes an initial public offering on or before December 31, 2004 and the offering price per share is greater than $6.00, then the exercise price per share will be automatically increased to equal the price per share in the offering.

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