0001104659-16-097825.txt : 20160217
0001104659-16-097825.hdr.sgml : 20160217
20160217185143
ACCESSION NUMBER: 0001104659-16-097825
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20151216
FILED AS OF DATE: 20160217
DATE AS OF CHANGE: 20160217
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: TESARO, Inc.
CENTRAL INDEX KEY: 0001491576
STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834]
IRS NUMBER: 272249687
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1000 WINTER STREET, SUITE 3300
CITY: WALTHAM
STATE: MA
ZIP: 02451
BUSINESS PHONE: (339) 970-0900
MAIL ADDRESS:
STREET 1: 1000 WINTER STREET, SUITE 3300
CITY: WALTHAM
STATE: MA
ZIP: 02451
FORMER COMPANY:
FORMER CONFORMED NAME: Tesaro, Inc.
DATE OF NAME CHANGE: 20100510
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SEIDENBERG BETH C
CENTRAL INDEX KEY: 0001184592
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35587
FILM NUMBER: 161435560
4
1
a4.xml
4
X0306
4
2015-12-16
0
0001491576
TESARO, Inc.
TSRO
0001184592
SEIDENBERG BETH C
C/O TESARO, INC.
1000 WINTER STREET, SUITE 3300
WALTHAM
MA
02451
1
0
0
0
Common Stock
2015-12-16
5
J
0
E
8652
0
D
1376237
I
See footnote
Common Stock
2015-12-16
5
J
0
E
315
0
A
20388
D
Common Stock
205
I
By Michael J. Seidenberg Irrevocable Trust
Common Stock
205
I
By Samuel B. Seidenberg Irrevocable Trust
Common Stock
116428
I
See footnote
As a result of a pro-rata distribution for no consideration by Kleiner Perkins Caufield & Byers XIV, LLC ("KPCB XIV"), a limited liability company in which the Reporting Person is a member.
The shares are held directly by KPCB XIV. The managing member of KPCB XIV is KPCB XIV Associates, LLC ("KPCB XIV Associates"), of which the Reporting Person is a member. The voting and dispositive control over the shares is shared by the members of KPCB XIV Associates. The shares are held for convenience in the name of "KPCB Holdings, Inc. as nominee."
The Reporting Person disclaims beneficial ownership over all Issuer shares held for convenience in the name of "KPCB Holdings, Inc. as nominee," except to the extent of her pecuniary interest therein, and the filing of this report is not an admission that the Reporting Person is the beneficial owner of these shares for the purposes of Section 16 or for any other purpose.
The Reporting Person and her spouse are co-trustees of the trust and their son is beneficiary of the trust. The Reporting Person disclaims beneficial ownership of these shares, except to the extent of her pecuniary interest therein, and the filing of this report is not an admission that the Reporting Person is the beneficial owner of these shares for purposes of Section 16 or for any other purpose.
The shares are held directly by KPCB XIV Founders Fund, LLC ("KPCB XIV Founders"). The managing member of KPCB XIV Founders is KPCB XIV Associates, of which the Reporting Person is a member. The voting and dispositive control over the shares is shared by the members of KPCB XIV Associates. The shares are held for convenience in the name of "KPCB Holdings, Inc. as nominee."
/s/ Paul Vronsky, Attorney-in-Fact
2016-02-17