0001299130-15-000162.txt : 20151113
0001299130-15-000162.hdr.sgml : 20151113
20151113173652
ACCESSION NUMBER: 0001299130-15-000162
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20151111
FILED AS OF DATE: 20151113
DATE AS OF CHANGE: 20151113
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: PACIFIC BIOSCIENCES OF CALIFORNIA, INC.
CENTRAL INDEX KEY: 0001299130
STANDARD INDUSTRIAL CLASSIFICATION: LABORATORY ANALYTICAL INSTRUMENTS [3826]
IRS NUMBER: 161590339
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1380 WILLOW ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 650-521-8000
MAIL ADDRESS:
STREET 1: 1380 WILLOW ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
FORMER COMPANY:
FORMER CONFORMED NAME: PACIFIC BIOSCIENCES OF CALIFORNIA INC
DATE OF NAME CHANGE: 20050829
FORMER COMPANY:
FORMER CONFORMED NAME: NANOFLUIDICS INC
DATE OF NAME CHANGE: 20040729
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BYERS BROOK H
CENTRAL INDEX KEY: 0001032454
STATE OF INCORPORATION: CA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-34899
FILM NUMBER: 151230409
MAIL ADDRESS:
STREET 1: C/O KLEINER PERKINS CAUFIELD & BYERS
STREET 2: 2750 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
4
1
certent-form4.xml
PRIMARY DOCUMENT
X0306
4
2015-11-11
0001299130
PACIFIC BIOSCIENCES OF CALIFORNIA, INC.
PACB
0001032454
BYERS BROOK H
PACIFIC BIOSCIENCES OF CALIFORNIA, INC.
1380 WILLOW ROAD
MENLO PARK
CA
94025
1
0
0
0
Common Stock
2015-11-11
4
J
0
1000000
D
2696654
I
See footnote (2)
Common Stock
2015-11-11
4
J
0
30077
A
30077
I
See footnote (4)
Represents a pro-rata in-kind distribution of Common Stock of the Issuer without consideration to its limited partners and general partners.
Shares held by entities affiliated with Kleiner Perkins Caufield & Byers. These 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 ("KPCB"), where the Reporting Person is a Managing Director. The Reporting Person disclaims beneficial ownership of any shares held by these entities affiliated with KPCB except to the extent of his pecuniary interest therein.
Represents the receipt of shares of Common Stock of the Issuer by virtue of the pro-rata in-kind distribution described in footnote (1) above.
Shares held by the Byers Family Trust Dated 6/21/99, for which the Reporting Person serves as a trustee.
/s/ Susan K. Barnes, Attorney-in-Fact
2015-11-13