SEC Form 4 · accession 0001104659-15-066325
TESARO, Inc. · TSRO
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Beth C Seidenberg
Director
Period of report
Sep 17, 2015
Accepted (ET)
Sep 21, 2015 · 6:40 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001491576
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2,F3 | Sep 17, 2015 | J | 267,948 | $0.00 | D | 1,384,889 | I | See footnote |
| Common StockF1 | Sep 17, 2015 | J | 3,562 | $0.00 | A | 20,073 | D | |
| Common StockF1,F4 | Sep 17, 2015 | J | 205 | $0.00 | A | 205 | I | By Michael J. Seidenberg Irrevocable Trust |
| Common StockF1,F4 | Sep 17, 2015 | J | 205 | $0.00 | A | 205 | I | By Samuel B. Seidenberg Irrevocable Trust |
| Common StockF5,F3 | Sep 17, 2015 | J | 23,400 | $0.00 | D | 116,428 | I | See footnote |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1As a result of a pro-rata distribution for no consideration by Kleiner Perkins Caufield & Byers XIV, LLC ("KPCB XIV"), a limited liability company in which the Reporting Person is a member.
- F2The shares are held directly by KPCB XIV. The managing member of KPCB XIV is KPCB XIV Associates, LLC ("KPCB XIV Associates"), of which the Reporting Person is a member. The voting and dispositive control over the shares is shared by the members of KPCB XIV Associates. The shares are held for convenience in the name of "KPCB Holdings, Inc. as nominee."
- F3The Reporting Person disclaims beneficial ownership over all Issuer shares held for convenience in the name of "KPCB Holdings, Inc. as nominee," except to the extent of her pecuniary interest therein, and the filing of this report is not an admission that the Reporting Person is the beneficial owner of these shares for the purposes of Section 16 or for any other purpose.
- F4The Reporting Person and her spouse are co-trustees of the trust and their son is beneficiary of the trust. The Reporting Person disclaims beneficial ownership of these shares, except to the extent of her pecuniary interest therein, and the filing of this report is not an admission that the Reporting Person is the beneficial owner of these shares for purposes of Section 16 or for any other purpose.
- F5The shares are held directly by KPCB XIV Founders Fund, LLC ("KPCB XIV Founders"). The managing member of KPCB XIV Founders is KPCB XIV Associates, of which the Reporting Person is a member. The voting and dispositive control over the shares is shared by the members of KPCB XIV Associates. The shares are held for convenience in the name of "KPCB Holdings, Inc. as nominee." On September 17, 2015, KPCB XIV Founders distributed shares previously held by it in a pro-rata distribution for no consideration.