0000899243-21-047003.txt : 20211206
0000899243-21-047003.hdr.sgml : 20211206
20211206194811
ACCESSION NUMBER: 0000899243-21-047003
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211202
FILED AS OF DATE: 20211206
DATE AS OF CHANGE: 20211206
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: KHOSLA VINOD
CENTRAL INDEX KEY: 0001032453
STATE OF INCORPORATION: CA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39345
FILM NUMBER: 211474358
MAIL ADDRESS:
STREET 1: 2128 SAND HILL RD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Khosla Ventures III, L.P.
CENTRAL INDEX KEY: 0001471809
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39345
FILM NUMBER: 211474361
BUSINESS ADDRESS:
STREET 1: 2128 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: (650) 376-8526
MAIL ADDRESS:
STREET 1: 2128 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: VK Services, LLC
CENTRAL INDEX KEY: 0001501927
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39345
FILM NUMBER: 211474359
BUSINESS ADDRESS:
STREET 1: 2128 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: (650) 376-8526
MAIL ADDRESS:
STREET 1: 2128 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Khosla Ventures Associates III, LLC
CENTRAL INDEX KEY: 0001501934
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39345
FILM NUMBER: 211474360
BUSINESS ADDRESS:
STREET 1: 2128 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: (650) 376-8526
MAIL ADDRESS:
STREET 1: 2128 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: QuantumScape Corp
CENTRAL INDEX KEY: 0001811414
STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS ELECTRICAL MACHINERY, EQUIPMENT & SUPPLIES [3690]
IRS NUMBER: 850796578
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1730 TECHNOLOGY DRIVE
CITY: SAN JOSE
STATE: CA
ZIP: 95110
BUSINESS PHONE: (408) 452-2000
MAIL ADDRESS:
STREET 1: 1730 TECHNOLOGY DRIVE
CITY: SAN JOSE
STATE: CA
ZIP: 95110
FORMER COMPANY:
FORMER CONFORMED NAME: Kensington Capital Acquisition Corp.
DATE OF NAME CHANGE: 20200505
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-12-02
1
0001811414
QuantumScape Corp
QS
0001471809
Khosla Ventures III, L.P.
2128 SAND HILL ROAD
MENLO PARK
CA
94025
0
0
1
0
0001501934
Khosla Ventures Associates III, LLC
2128 SAND HILL ROAD
MENLO PARK
CA
94025
0
0
1
0
0001501927
VK Services, LLC
2128 SAND HILL ROAD
MENLO PARK
CA
94025
0
0
1
0
0001032453
KHOSLA VINOD
2128 SAND HILL ROAD
MENLO PARK
CA
94025
0
0
1
0
Class A Common Stock
2021-12-02
4
J
0
3544040
0.00
D
1286463
I
See footnote
On December 2, 2021, 3,544,040 shares of Class A Common Stock held by Khosla Ventures III, L.P. ("KV III") were distributed to the limited partners and general partners of KV III in a pro rata distribution for no consideration. Of such distributed shares, 1,288,742 shares of Class A Common Stock were received by Khosla Ventures Associates III, LLC ("KVA III") and subsequently distributed by KVA III to its members. Of such distributed shares received by KVA III, 890,137 shares of Class A Common Stock were received by VK Services, LLC ("VK Services").
Consists of securities held of record by KV III, of which KVA III is the general partner. Vinod Khosla is the managing member of VK Services, which is the manager of KVA III. Each of KVA III, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities held by KV III, and each of KVA III, VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities held by KV III. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.
/s/ John J. Demeter, as attorney in fact for Vinod Khosla, as Managing Member of VK Services, LLC, in its capacity as Manager of Khosla Ventures Associates III, LLC, in its capacity as general partner of Khosla Ventures III, L.P.
2021-12-06
/s/ John J. Demeter, as attorney in fact for Vinod Khosla, as Managing Member of VK Services, LLC, in its capacity as Manager of Khosla Ventures Associates III, LLC
2021-12-06
/s/ John J. Demeter, as attorney in fact for Vinod Khosla, as Managing Member of VK Services, LLC
2021-12-06
/s/ John J. Demeter, as attorney in fact for Vinod Khosla
2021-12-06