U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 5
ANNUAL 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(f)
of the Investment Company Act of 1940.
[ ] Check this box if no longer subject to Section 16.
Form 4 or Form 5 obligations may continue. See Instruction 1(b).
[X] Form 3 Holdings Reported [ ] Form 4 Holdings Reported
1. Name and Address of Reporting Person:
David W. Sear, Ph.D.
14810 Clara Street
Los Gatos, California 95030
2. Issuer Name and Ticker or Trading Symbol:
Origin Investment Group, Inc.
OTC-Bulletin Board Symbol = OGNI
3. IRS or Social Security Number of Reporting Person (Voluntary):
4. Statement for Month/Year: December 1999
5. If Amendment, Date of Original (Month/Day/Year):
None
6. Relationship of Reporting Person to Issuer (Check all applicable):
___X___ Director _______ 10% Owner
______ Officer (give title below) ____ Other (specify below)
7. Individual or Joint/Group Filing: [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:
None
2. Transaction Date (Month/Year):
None
3. Transaction Code:
None
4. Securities Acquired (A) or Disposed of (D):
None
5. Amount of Securities Beneficially Owned at End of Issuer's Fiscal Year:
None
6. Ownership Form: Direct (D) or Indirect (I):
None
7. Nature of Indirect Beneficial Ownership:
None
Table II - Derivative Securities Acquired, Disposed of,
or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security:
None
2. Conversion or Exercise Price of Derivative Security:
None
3. Transaction Date (Month/Day/Year):
None
4. Transaction Code:
None
5. Number of Derivative Securities Acquired (A) or Disposed of (D):
None
6. Date Exercisable and Expiration Date:
None
7. Title and Amount of Underlying Securities
None
8. Price of Derivative Security
None
9. Number of Derivative Securities Beneficially Owned at End of Year:
None
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
None
11. Nature of Indirect Beneficial Ownership:
None
Explanation of Responses:
/s/ David W. Sear, Ph.D.
-----------------------------
**Signature of Reporting Person
2/14/00
-----------------------------
Date