SEC Form 4 · accession 0001365916-16-000161
AMYRIS, INC. · AMRS
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
L John Doerr
Director
Period of report
Jul 13, 2016
Accepted (ET)
Jul 15, 2016 · 7:18 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001365916
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Jul 13, 2016 | A | 17,000 | $0.00 | A | 32,000 | D | |
| Common StockF2 | holding | — | — | — | 13,037,586 | I | by Foris Ventures, LLC | |
| Common StockF3 | holding | — | — | — | 144,707 | I | by Clarus, LLC | |
| Common StockF4 | holding | — | — | — | 3,724,558 | I | by Kleiner Perkins Caufield & Byers XII, LLC | |
| Common StockF5 | holding | — | — | — | 67,952 | I | by KPCB XII Founders Fund, LLC | |
| Common StockF6 | holding | — | — | — | 8,503 | I | by The Vallejo Ventures Trust U/T/A 2/12/96 |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (Right to Buy)F7 | $0.41 | Jul 13, 2016 | A | 26,000 | A | — | Jul 13, 2026 | Common Stock | 26,000 | 26,000 | D |
Explanation of responses
- F1Represents a restricted stock unit award that vests as to 100% of the units subject to the award on July 13, 2017.
- F2The Reporting Person indirectly holds all of the membership interests in Foris Ventures, LLC. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein.
- F3The Reporting Person is the manager of Clarus, LLC. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein. The shares are held for convenience in the name of "KPCB Holdings, Inc., as nominee" for the account of entities affiliated with Kleiner Perkins Caufield & Byers and others. KPCB Holdings, Inc. has no voting, dispositive or pecuniary interest in any such shares.
- F4The Managing Member of Kleiner Perkins Caufield & Byers XII, LLC is KPCB XII Associates, LLC, of which the Reporting Person is the managing member. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein.The shares are held for convenience in the name of "KPCB Holdings, Inc., as nominee" for the account of entities affiliated with Kleiner Perkins Caufield & Byers and others. KPCB Holdings, Inc. has no voting, dispositive or pecuniary interest in any such shares.
- F5The Managing Member of KPCB XII Founders Fund, LLC is KPCB XII Associates, LLC, of which the Reporting Person is the managing member. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein.The shares are held for convenience in the name of "KPCB Holdings, Inc., as nominee" for the account of entities affiliated with Kleiner Perkins Caufield & Byers and others. KPCB Holdings, Inc. has no voting, dispositive or pecuniary interest in any such shares.
- F6The Reporting Person is a Trustee of The Vallejo Ventures Trust U/T/A 2/12/96.
- F7Stock option vests as to 100% of the total number of shares subject to the option on July 13, 2017.