0001209191-21-068737.txt : 20211209 0001209191-21-068737.hdr.sgml : 20211209 20211209160017 ACCESSION NUMBER: 0001209191-21-068737 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211207 FILED AS OF DATE: 20211209 DATE AS OF CHANGE: 20211209 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: 001-39345 FILM NUMBER: 211481926 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: QuantumScape Corp CENTRAL INDEX KEY: 0001811414 STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS ELECTRICAL MACHINERY, EQUIPMENT & SUPPLIES [3690] IRS NUMBER: 850796578 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1730 TECHNOLOGY DRIVE CITY: SAN JOSE STATE: CA ZIP: 95110 BUSINESS PHONE: (408) 452-2000 MAIL ADDRESS: STREET 1: 1730 TECHNOLOGY DRIVE CITY: SAN JOSE STATE: CA ZIP: 95110 FORMER COMPANY: FORMER CONFORMED NAME: Kensington Capital Acquisition Corp. DATE OF NAME CHANGE: 20200505 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-12-07 0 0001811414 QuantumScape Corp QS 0001032455 DOERR L JOHN C/O QUANTUMSCAPE CORPORATION 1730 TECHNOLOGY DRIVE SAN JOSE CA 95110 1 0 0 0 Class A Common Stock 2021-12-07 4 C 0 5070532 0.00 A 5070532 I see footnote Class A Common Stock 2021-12-07 4 J 0 5070532 0.00 D 0 I see footnote Class A Common Stock 2021-12-07 4 J 0 1449954 0.00 A 1517166 I see footnote Class A Common Stock 2021-12-07 4 J 0 1272486 0.00 D 244680 I see footnote Class A Common Stock 2021-12-07 4 J 0 132679 0.00 A 499622 I see footnote Class A Common Stock 2021-12-07 4 J 0 15942 0.00 A 47568 I see footnote Class A Common Stock 2021-12-07 4 J 0 1502 0.00 A 4468 I see footnote Class A Common Stock 2021-12-07 4 J 0 14313 0.00 A 42617 I see footnote Class A Common Stock 2021-12-07 4 J 0 14313 0.00 A 42617 I see footnote Class A Common Stock 2021-12-07 4 J 0 555960 0.00 A 1671587 I see footnote Class B Common Stock 2021-12-07 4 C 0 5070532 0.00 D Class A Common Stock 5070532 5070532 I see footnote The shares are held for convenience in the name of "KPCB Holdings, Inc., as nominee" for the accounts of Kleiner Perkins Caufield & Byers XIV, LLC ("KPCB XIV") and KPCB XIV Founders Fund, LLC ("KPCB XIV FF") (collectively, the "KPCB Entities"). The managing member of KPCB XIV and KPCB XIV FF is KPCB XIV Associates, LLC ("KPCB XIV Associates"). The Reporting Person, a managing member of KPCB XIV Associates, exercises shared voting and dispositive control over the shares held by the KPCB Entities and disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein. Represents a pro-rata in-kind distribution of Common Stock of the Issuer by KPCB XIV and KPCB XIV FF without consideration to their members (the "Fund Distribution"). Represents a change in the form of ownership from indirect to direct by virtue of the receipt of shares in the Fund Distribution. The shares are held directly by KPCB XIV Associates. The Reporting Person is a managing member of KPCB XIV Associates and may be deemed to share voting and investment power over the securities held by KPCB XIV Associates. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein. Represents a pro-rata in-kind distribution of Common Stock of the Issuer by KPCB XIV Associates, LLC (KPCB XIV Associates) without consideration to its members (the "Associates Distribution"). Represents the receipt of shares of Common Stock of the Issuer by virtue of the Associates Distribution Shares are held by Vallejo Ventures Trust for which the Reporting Person and his spouse serve as trustee. The sole member of KPIC, LLC is Vallejo Ventures Trust. The Reporting Person is a trustee of the Vallejo Ventures Trust. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein. The managing member of Lupum Ventures, LLC is Vallejo Ventures Trust. The Reporting Person is a trustee of the Vallejo Ventures Trust. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein. Shares are held by The Austin 1999 Trust Dated May 25, 1999 for which the Reporting Person serves as trustee. Shares are held by The Hampton 1999 Trust Dated May 25, 1999 for which the Reporting Person serves as trustee. Represents the receipt of shares of Common Stock of the Issuer by virtue of the Fund Distribution. The sole member of Portico Libre, LLC is Vallejo Ventures Trust. The Reporting Person is a trustee of the Vallejo Ventures Trust. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein. Each share of Class B Common Stock is convertible at any time into Class A Common Stock on a one-to-one basis at the Reporting Person's election and has no expiration date. /s/ Michael O. McCarthy III, attorney-in-fact 2021-12-09