0001628280-18-012298.txt : 20181003
0001628280-18-012298.hdr.sgml : 20181003
20181003192537
ACCESSION NUMBER: 0001628280-18-012298
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20181003
FILED AS OF DATE: 20181003
DATE AS OF CHANGE: 20181003
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Khosla Ventures IV, L.P.
CENTRAL INDEX KEY: 0001521016
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38683
FILM NUMBER: 181106613
BUSINESS ADDRESS:
STREET 1: 3000 SAND HILL ROAD
STREET 2: SUITE 190
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 650-376-8500
MAIL ADDRESS:
STREET 1: 3000 SAND HILL ROAD
STREET 2: SUITE 190
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Khosla Ventures IV (CF), L.P.
CENTRAL INDEX KEY: 0001685550
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38683
FILM NUMBER: 181106614
BUSINESS ADDRESS:
STREET 1: 2128 SAND HILL RD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 650-376-8500
MAIL ADDRESS:
STREET 1: 2128 SAND HILL RD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Khosla Ventures Associates IV, LLC
CENTRAL INDEX KEY: 0001685549
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38683
FILM NUMBER: 181106615
BUSINESS ADDRESS:
STREET 1: 2128 SAND HILL RD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 650-376-8500
MAIL ADDRESS:
STREET 1: 2128 SAND HILL RD
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: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38683
FILM NUMBER: 181106616
BUSINESS ADDRESS:
STREET 1: 3000 SAND HILL ROAD
STREET 2: BUILDING 3, SUITE 190
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: (650) 376-8510
MAIL ADDRESS:
STREET 1: 3000 SAND HILL ROAD
STREET 2: BUILDING 3, SUITE 190
CITY: MENLO PARK
STATE: CA
ZIP: 94025
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: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38683
FILM NUMBER: 181106617
MAIL ADDRESS:
STREET 1: 2128 SAND HILL RD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Guardant Health, Inc.
CENTRAL INDEX KEY: 0001576280
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MEDICAL LABORATORIES [8071]
IRS NUMBER: 454139254
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 505 PENOBSCOT DR.
CITY: REDWOOD CITY
STATE: CA
ZIP: 94063
BUSINESS PHONE: 855-698-8887
MAIL ADDRESS:
STREET 1: 505 PENOBSCOT DR.
CITY: REDWOOD CITY
STATE: CA
ZIP: 94063
3
1
wf-form3_153860912014138.xml
FORM 3
X0206
3
2018-10-03
0
0001576280
Guardant Health, Inc.
GH
0001521016
Khosla Ventures IV, L.P.
2128 SAND HILL ROAD
MENLO PARK
CA
94025
0
0
1
0
0001685550
Khosla Ventures IV (CF), L.P.
2128 SAND HILL ROAD
MENLO PARK
CA
94025
0
0
1
0
0001685549
Khosla Ventures Associates IV, 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
SERIES B PREFERRED STOCK
COMMON STOCK
281020.0
I
Khosla Ventures IV (CF), L.P.
SERIES B PREFERRED STOCK
COMMON STOCK
4395627.0
I
Khosla Ventures IV, L.P.
SERIES C PREFERRED STOCK
COMMON STOCK
84306.0
I
Khosla Ventures IV (CF), L.P.
SERIES C PREFERRED STOCK
COMMON STOCK
1318688.0
I
Khosla Ventures IV, L.P.
SERIES D PREFERRED STOCK
COMMON STOCK
61111.0
I
Khosla Ventures IV (CF), L.P.
SERIES D PREFERRED STOCK
COMMON STOCK
955882.0
I
Khosla Ventures IV, L.P.
SERIES E PREFERRED STOCK
COMMON STOCK
2695.0
I
Khosla Ventures IV (CF), L.P.
SERIES E PREFERRED STOCK
COMMON STOCK
42169.0
I
Khosla Ventures IV, L.P.
The shares of the Issuer's Series B, Series C, Series D and Series E Preferred Stock (collectively, the "Preferred Stock") are convertible, at the option of the holder, into shares of Common Stock at the then-effective conversion rate for no additional consideration (subject to the payment of cash in lieu of any fractional shares in accordance with the Issuer's Amended and Restated Certificate of Incorporation (as amended, the "Certificate of Incorporation")). The shares of Preferred Stock will automatically convert into shares of the Issuer's Common Stock, for no additional consideration, at the then-effective conversion rate for no additional consideration (subject to the payment of cash in lieu of any fractional shares in accordance with the Certificate of Incorporation) immediately prior to the consummation of the Issuer's initial public offering, and have no expiration date.
Consists of securities held of record by Khosla Ventures IV (CF), L.P. ("KV IV (CF)"), of which Khosla Ventures Associates IV, LLC ("KVA IV") is the general partner. Vinod Khosla is the managing member of VK Services, LLC ("VK Services"), which is the sole manager of KVA IV. Each of KVA IV, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities held by KV IV (CF), and each of KVA IV, VK Services, and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities held by KV IV (CF). Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interests therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes.
Consists of securities held of record by Khosla Ventures IV, L.P. ("KV IV"), of which KVA IV is the general partner. Vinod Khosla is the managing member of VK Services, which is the sole manager of KVA IV. Each of KVA IV, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities held by KV IV, and each of KVA IV, VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities held by KV IV. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its respective pecuniary interests therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes.
/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 IV,
LLC, in its capacity as general partner of Khosla Ventures IV, L.P.
2018-10-03
/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 IV,
LLC, in its capacity as general partner of Khosla Ventures IV (CF), L.P.
2018-10-03
/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 IV,
LLC.
2018-10-03
/s/John J. Demeter, as attorney in fact for Vinod Khosla, as Managing Member of
VK Services, LLC.
2018-10-03
/s/John J. Demeter, as attorney in fact for Vinod Khosla.
2018-10-03