-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, Pis2yrQV4eCyBrZR/UzMUOjhJvOYrHAsKTUk+mr738nekoEXw7AIN914awwepfd/ 9DKLdSXtZTx5zTjlovXaaA== 0001127602-10-027592.txt : 20101109 0001127602-10-027592.hdr.sgml : 20101109 20101109195832 ACCESSION NUMBER: 0001127602-10-027592 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20101105 FILED AS OF DATE: 20101109 DATE AS OF CHANGE: 20101109 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: 000-50726 FILM NUMBER: 101177881 MAIL ADDRESS: STREET 1: C/O KLEINER PERKINS CAUFIELD & BYERS STREET 2: 2750 SAND HILL ROAD CITY: MENLO PARK STATE: CA ZIP: 94025 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Google Inc. CENTRAL INDEX KEY: 0001288776 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING, DATA PROCESSING, ETC. [7370] IRS NUMBER: 770493581 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1600 AMPHITHEATRE PARKWAY CITY: MOUNTAIN VIEW STATE: CA ZIP: 94043 BUSINESS PHONE: 650 623 4000 MAIL ADDRESS: STREET 1: 1600 AMPHITHEATRE PARKWAY CITY: MOUNTAIN VIEW STATE: CA ZIP: 94043 4 1 form4.xml PRIMARY DOCUMENT X0303 4 2010-11-05 0001288776 Google Inc. GOOG 0001032455 DOERR L JOHN C/O KLEINER PERKINS CAUFIELD & BYERS 2750 SAND HILL ROAD MENLO PARK CA 94025 1 Google Stock Unit 2010-11-05 4 C 0 68 0 D 759 D Class A Common Stock 2010-11-05 4 C 0 68 0 A 343 D Google Stock Unit 726 D Class A Common Stock 18656 I Blake H. Byers Trust Class A Common Stock 1172 I Brook H. Byers Trust Class A Common Stock 18656 I Chad A. Byers Trust Class A Common Stock 113292 I The Benificus Foundation Class B Common Stock 0 Class A Common Stock 1850 1850 I The 1994 Portico Trust Class B Common Stock 0 Class A Common Stock 160940 160940 I The 1999 Portico Trust Class B Common Stock 0 Class A Common Stock 1656006 1656006 I Vallejo Ventures Trust The Google Stock Units ("GSUs") entitle the reporting person to receive one share of Google Inc.'s Class A Common Stock for each share underlying the GSU as the GSU vests. The GSUs vest as follows: 1/4th of the GSUs shall vest 12 months after the vesting commencement date and 1/16th each quarter thereafter until the units are fully vested, subject to continued service with Google on the applicable vesting dates. Each share of Class A Common Stock was issued upon the conversion of one share of Class B Common Stock at the election of Reporting Person. There is no exercisable date for the Issuer's Class B Common Stock. There is no expiration date for the Issuer's Class B Common Stock. /s/ Jonathan Frankel, attorney-in-fact for L. John Doerr 2010-11-09 -----END PRIVACY-ENHANCED MESSAGE-----