SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0104
Estimated average burden
hours per response: 0.5
1. Name and Address of Reporting Person*
Kaplan Johanne

(Last) (First) (Middle)
C/O PROMIS NEUROSCIENCES INC.,
1920 YONGE STREET, SUITE 200

(Street)
TORONTO A6 M4S 3E2

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
03/08/2023
3. Issuer Name and Ticker or Trading Symbol
ProMIS Neurosciences Inc. [ PMN ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Development Officer
5. 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 Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Shares 6,317 D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Option (right to buy) (2) 07/20/2026 Common Shares 16,666 9(1) D
Option (right to buy) (2) 12/14/2026 Common Shares 8,333 10.2(1) D
Option (right to buy) (2) 01/02/2029 Common Shares 16,666 15(1) D
Option (right to buy) (3) 12/09/2031 Common Shares 33,333 8.4(1) D
Warrants (right to buy) 01/23/2019 01/22/2024 Common Shares 4,817 28.8(1) D
Explanation of Responses:
1. Conversion or exercise price is in Canadian dollars.
2. This option is fully vested and exercisable as of the date hereof.
3. The option agreement provides that the option vests ratably over 48 months following the date of grant (December 9, 2021).
Remarks:
Exhibit List: Exhibit 24 - Power of Attorney
/s/ Max Milbury, Attorney-in-Fact for Johanne Kaplan 03/16/2023
** 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 5 (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.