0000899243-23-000770.txt : 20230104 0000899243-23-000770.hdr.sgml : 20230104 20230104215029 ACCESSION NUMBER: 0000899243-23-000770 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200814 FILED AS OF DATE: 20230104 DATE AS OF CHANGE: 20230104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DOERR L JOHN CENTRAL INDEX KEY: 0001032455 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34885 FILM NUMBER: 23509599 MAIL ADDRESS: STREET 1: C/O KLEINER PERKINS CAUFIELD & BYERS STREET 2: 2750 SAND HILL ROAD CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Foris Ventures, LLC CENTRAL INDEX KEY: 0001749713 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34885 FILM NUMBER: 23509598 BUSINESS ADDRESS: STREET 1: 751 LAUREL STREET, #717 CITY: SAN CARLOS STATE: CA ZIP: 94070 BUSINESS PHONE: 650-384-0240 MAIL ADDRESS: STREET 1: 751 LAUREL STREET, #717 CITY: SAN CARLOS STATE: CA ZIP: 94070 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Doerr Ann Howland CENTRAL INDEX KEY: 0001750962 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34885 FILM NUMBER: 23509597 MAIL ADDRESS: STREET 1: 751 LAUREL STREET, #717 CITY: SAN CARLOS STATE: CA ZIP: 94070 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hager Barbara CENTRAL INDEX KEY: 0001750733 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34885 FILM NUMBER: 23509596 MAIL ADDRESS: STREET 1: 751 LAUREL STREET, #717 CITY: SAN CARLOS STATE: CA ZIP: 94070 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Vallejo Ventures Trust UTA 21296 CENTRAL INDEX KEY: 0001750751 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34885 FILM NUMBER: 23509595 BUSINESS ADDRESS: STREET 1: 751 LAUREL STREET, #717 CITY: SAN CARLOS STATE: CA ZIP: 94070 BUSINESS PHONE: 6503840240 MAIL ADDRESS: STREET 1: 751 LAUREL STREET, #717 CITY: SAN CARLOS STATE: CA ZIP: 94070 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AMYRIS, INC. CENTRAL INDEX KEY: 0001365916 STANDARD INDUSTRIAL CLASSIFICATION: INDUSTRIAL ORGANIC CHEMICALS [2860] IRS NUMBER: 550856151 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 5885 HOLLIS STREET, SUITE 100 CITY: EMERYVILLE STATE: CA ZIP: 94608 BUSINESS PHONE: 510-450-0761 MAIL ADDRESS: STREET 1: 5885 HOLLIS STREET, SUITE 100 CITY: EMERYVILLE STATE: CA ZIP: 94608 FORMER COMPANY: FORMER CONFORMED NAME: AMYRIS BIOTECHNOLOGIES INC DATE OF NAME CHANGE: 20060613 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2020-08-14 0 0001365916 AMYRIS, INC. AMRS 0001032455 DOERR L JOHN C/O 5885 HOLLIS STREET, SUITE 100 EMERYVILLE CA 94608 1 0 1 0 0001749713 Foris Ventures, LLC 751 LAUREL STREET #717 SAN CARLOS CA 94070 0 0 1 0 0001750962 Doerr Ann Howland 751 LAUREL STREET #717 SAN CARLOS CA 94070 0 0 1 0 0001750733 Hager Barbara 751 LAUREL STREET #717 SAN CARLOS CA 94070 0 0 1 0 0001750751 Vallejo Ventures Trust UTA 21296 751 LAUREL STREET #717 SAN CARLOS CA 94070 0 0 1 0 Common Stock 2022-12-30 4 A 0 13333334 1.50 A 87268358 I By Foris Ventures, LLC Common Stock 4531 I By KPCB XII Founders Fund, LLC Common Stock 248304 I By Kleiner Perkins Caufield & Byers XII, LLC Common Stock 3333333 I By Perrara Ventures, LLC Common Stock 9648 I By Clarus, LLC Common Stock 567 I By The Vallejo Ventures Trust U/T/A 2/12/96 Common Stock 106155 D 6% Convertible Note due 2023 3.00 2020-08-14 4 P 0 50041000.00 A 2023-07-01 Common Stock 50041000.00 50041000.00 I By Foris Ventures, LLC Warrant (Right to Buy) 1.80 2022-12-30 4 A 0 10000000 A 2027-12-30 Common Stock 10000000 10000000 I By Foris Ventures, LLC On December 29, 2022, the Issuer entered into a security purchase agreement with Foris Ventures, LLC ("FV"), pursuant to which the Issuer issued and sold to FV in a private placement (i) 13,333,334 shares of the Issuer's common stock (the "Common Stock") and (ii) a warrant to purchase up to 10,000,000 shares of Common Stock, for an aggregate purchase price of $20,000,000. L. John Doerr ("John Doerr") indirectly holds all of the membership interests in FV. John Doerr disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein. Barbara Hager, the manager of FV, may be deemed to have sole power to vote and dispose of the shares held by FV. The Vallejo Ventures Trust U/T/A 2/12/96 ("VVT"), the member of FV, may be deemed to have sole power to vote and dispose of these securities and John Doerr and Ann Doerr, the trustees of VVT, and Barbara Hager, the special trustee of VVT, may be deemed to have shared power to vote and dispose of the reported securities. Each of John Doerr, Ann Doerr and Barbara Hager disclaims beneficial ownership of the reported securities except to the extent of their pecuniary interest therein. FV and VVT are represented on the Issuer's board of directors by John Doerr. Accordingly, each of the Reporting Persons is deemed to be a director by deputization. The Reporting Persons are jointly filing this Form 4 pursuant to Rule 16a-3(j) under the Exchange Act. The Managing Member of KPCB XII Founders Fund, LLC is KPCB XII Associates, LLC, of which John Doerr is the managing member. John Doerr disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein. The 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 and others. KPCB Holdings, Inc. has no voting, dispositive or pecuniary interest in any such shares. The Managing Member of Kleiner Perkins Caufield & Byers XII, LLC is KPCB XII Associates, LLC, of which John Doerr is the managing member. John Doerr disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein. The 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 and others. KPCB Holdings, Inc. has no voting, dispositive or pecuniary interest in any such shares. John Doerr indirectly holds all of the membership interests in Perrara Ventures, LLC. John Doerr disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein. John Doerr and Ann Doerr are the trustees of VVT, which is the member of Clarus, LLC. Barbara Hager is the special trustee of VVT and manager of FV. By virtue of these relationships, John Doerr, Ann Doerr and Barbara Hager may be deemed to have the power to vote and dispose of shares held by Clarus, LLC. Each of John Doerr, Ann Doerr and Barbara Hager disclaims beneficial ownership of the shares held by Clarus, LLC except to the extent of their pecuniary interest therein, if any. John Doerr and Ann Doerr are the trustees of VVT. Barbara Hager is the special trustee of VVT and manager of FV. By virtue of these relationships, John Doerr, Ann Doerr and Barbara Hager may be deemed to have the power to vote and dispose of shares held by VVT. Each of John Doerr, Ann Doerr and Barbara Hager disclaims beneficial ownership of the shares held by VVT except to the extent of their pecuniary interest therein, if any. On October 28, 2019, the Issuer, FV, as lender, and the other parties thereto entered into that certain Amended and Restated Loan and Security Agreement (the "LSA"), pursuant to which the Issuer issued certain indebtedness to FV. On June 1, 2020, the parties to the LSA entered into Amendment No. 1 thereto, pursuant to which the Issuer granted FV the right to convert, at its option, all or any portion of the indebtedness outstanding under the LSA (the "2019 Convertible Note"), including accrued and unpaid interest, into shares of Common Stock, subject to stockholder approval, which was granted on August 14, 2020. As of January 4, 2023, 16,680,334 shares of Common Stock are issuable upon conversion of the 2019 Convertible Note in respect of an outstanding principal amount of $50 million and 3,701,734 shares of Common Stock are issuable upon conversion of accrued and unpaid interest of $11.1 million, reflecting a fixed conversion price of $3.00 per share of Common Stock. The warrant is exercisable at a price of $1.80 per full share of Common Stock at any time after the date of issuance for a period of five years. /s/ L. John Doerr, by Barbara Hager as his attorney in fact 2023-01-04 /s/ Ann Howland Doerr, by Barbara Hager as her attorney in fact 2023-01-04 /s/ Vallejo Ventures Trust UTA 21296, by Barbara Hager as Special Trustee 2023-01-04 /s/ Foris Ventures, LLC, by Barbara Hager as manager 2023-01-04 /s/ Barbara Hager 2023-01-04