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