0001628280-18-012482.txt : 20181011 0001628280-18-012482.hdr.sgml : 20181011 20181011162834 ACCESSION NUMBER: 0001628280-18-012482 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181009 FILED AS OF DATE: 20181011 DATE AS OF CHANGE: 20181011 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: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38683 FILM NUMBER: 181118570 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: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38683 FILM NUMBER: 181118571 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: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38683 FILM NUMBER: 181118572 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: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38683 FILM NUMBER: 181118573 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: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38683 FILM NUMBER: 181118574 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 4 1 wf-form4_153928969554454.xml FORM 4 X0306 4 2018-10-09 1 0001576280 Guardant Health, Inc. GH 0001521016 Khosla Ventures IV, L.P. 2128 SAND HILL ROAD MENLO PARK CA 94025 0 0 0 1 Former 10% Owner 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 COMMON STOCK 2018-10-09 4 C 0 281020 A 281020 I Khosla Ventures IV (CF), L.P. COMMON STOCK 2018-10-09 4 C 0 4395627 A 4395627 I Khosla Ventures IV, L.P COMMON STOCK 2018-10-09 4 C 0 84306 A 84306 I Khosla Ventures IV (CF), L.P. COMMON STOCK 2018-10-09 4 C 0 1318688 A 1318688 I Khosla Ventures IV, L.P COMMON STOCK 2018-10-09 4 C 0 61111 A 61111 I Khosla Ventures IV (CF), L.P. COMMON STOCK 2018-10-09 4 C 0 955882 A 955882 I Khosla Ventures IV, L.P COMMON STOCK 2018-10-09 4 C 0 2695 A 2695 I Khosla Ventures IV (CF), L.P. COMMON STOCK 2018-10-09 4 C 0 42169 A 42169 I Khosla Ventures IV, L.P SERIES B PREFERRED STOCK 2018-10-09 4 C 0 281020 D COMMON STOCK 281020.0 0 I Khosla Ventures IV (CF), L.P. SERIES B PREFERRED STOCK 2018-10-09 4 C 0 4395627 D COMMON STOCK 4395627.0 0 I Khosla Ventures IV, L.P. SERIES C PREFERRED STOCK 2018-10-09 4 C 0 84306 D COMMON STOCK 84306.0 0 I Khosla Ventures IV (CF), L.P. SERIES C PREFERRED STOCK 2018-10-09 4 C 0 1316688 D COMMON STOCK 1316688.0 0 I Khosla Ventures IV, L.P. SERIES D PREFERRED STOCK 2018-10-09 4 C 0 61111 D COMMON STOCK 61111.0 0 I Khosla Ventures IV (CF), L.P. SERIES D PREFERRED STOCK 2018-10-09 4 C 0 955882 D COMMON STOCK 955882.0 0 I Khosla Ventures IV, L.P. SERIES E PREFERRED STOCK 2018-10-09 4 C 0 2695 D COMMON STOCK 2695.0 0 I Khosla Ventures IV (CF), L.P. SERIES E PREFERRED STOCK 2018-10-09 4 C 0 42169 D COMMON STOCK 42169.0 0 I Khosla Ventures IV, L.P. The shares of Preferred Stock automatically converted 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 Amended and Restated 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. 2018-10-11 /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. 2018-10-11 /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. 2018-10-11 /s/John J. Demeter, as attorney in fact for Vinod Khosla, as Managing Member of VK Services, LLC. 2018-10-11 /s/John J. Demeter, as attorney in fact for Vinod Khosla. 2018-10-11