0001127602-11-017641.txt : 20110526 0001127602-11-017641.hdr.sgml : 20110526 20110526204035 ACCESSION NUMBER: 0001127602-11-017641 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110524 FILED AS OF DATE: 20110526 DATE AS OF CHANGE: 20110526 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Page Lawrence CENTRAL INDEX KEY: 0001295231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50726 FILM NUMBER: 11875874 MAIL ADDRESS: STREET 1: 1600 AMPHITHEATRE PARKWAY STREET 2: BUILDING 41 CITY: MOUNTAIN VIEW STATE: CA ZIP: 94043 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Google Inc. CENTRAL INDEX KEY: 0001288776 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING, DATA PROCESSING, ETC. [7370] IRS NUMBER: 770493581 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1600 AMPHITHEATRE PARKWAY CITY: MOUNTAIN VIEW STATE: CA ZIP: 94043 BUSINESS PHONE: 650 623 4000 MAIL ADDRESS: STREET 1: 1600 AMPHITHEATRE PARKWAY CITY: MOUNTAIN VIEW STATE: CA ZIP: 94043 4 1 form4.xml PRIMARY DOCUMENT X0303 4 2011-05-24 0001288776 Google Inc. GOOG 0001295231 Page Lawrence C/O GOOGLE INC. 1600 AMPHITHEATRE PARKWAY MOUNTAIN VIEW CA 94043 1 1 1 Chief Executive Officer Class A Common Stock 2011-05-24 5 G 0 E 75000 0 D 40000 D Class B Common Stock 0 Class A Common Stock 27355270 27355270 D Each share of Class A Common Stock was issued upon the conversion of one share of Class B Common Stock at the election of Reporting Person. All shares are exercisable as of the transaction date. There is no expiration date for the Issuer's Class B Common Stock. /s/ Patty Chang as attorney-in-fact for Lawrence Page 2011-05-26