Filing Details

Accession Number:
0001365916-19-000010
Form Type:
4
Zero Holdings:
No
Publication Time:
2019-04-17 20:18:58
Reporting Period:
2019-04-15
Accepted Time:
2019-04-17 20:18:58
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1365916 Amyris Inc. AMRS () CA
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1032455 John L Doerr C/O Amyris, Inc.
5885 Hollis Street, Suite 100
Emeryville CA 94608
Yes No Yes No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2019-04-15 6,732,369 $2.87 14,585,144 No 4 P Indirect By Foris Ventures, LLC
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Indirect By Foris Ventures, LLC
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Warrant (Right to Buy) Acquisiton 2019-04-15 5,424,804 $0.13 5,424,804 $2.87
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
5,424,804 2019-04-16 2021-04-16 No 4 P Indirect
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Common Stock 5,532 Direct
Common Stock 9,648 Indirect By Clarus, LLC
Common Stock 248,304 Indirect By Kleiner Perkins Caufield & Byers XII, LLC
Common Stock 4,531 Indirect By KPCB XII Founders Fund, LLC
Common Stock 567 Indirect By The Vallejo Ventures Trust U/T/A 2/12/96
Footnotes
  1. Pursuant to the Certificate of Designation for the Issuer's Series B 17.38% Convertible Preferred Stock ("Series B Preferred Stock"), the automatic conversion of the Series B Preferred Stock held by Foris Ventures, LLC ("Foris") to common stock is being held in abeyance to the extent such conversion would result in Foris beneficially owning in excess of 9.99% of the number of shares of common stock outstanding.
  2. The Reporting Person indirectly holds all of the membership interests in Foris. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein.
  3. The 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.
  4. The 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.
  5. The 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.
  6. The Reporting Person is a Trustee of The Vallejo Ventures Trust U/T/A 2/12/96.
  7. The exercise of this warrant is subject to a 19.99% beneficial ownership limit, which may be waived by Foris upon 61 days notice.