0001299130-15-000166.txt : 20151120 0001299130-15-000166.hdr.sgml : 20151120 20151120160609 ACCESSION NUMBER: 0001299130-15-000166 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151119 FILED AS OF DATE: 20151120 DATE AS OF CHANGE: 20151120 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: 151246749 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 2015-11-19 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 2015-11-19 4 J 0 1000000 D 1696654 I See footnote (2) Common Stock 2015-11-19 4 J 0 30077 A 60154 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 2015-11-20