0001127602-11-031116.txt : 20111202
0001127602-11-031116.hdr.sgml : 20111202
20111202182303
ACCESSION NUMBER: 0001127602-11-031116
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20111130
FILED AS OF DATE: 20111202
DATE AS OF CHANGE: 20111202
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: 111241591
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
X0304
4
2011-11-30
0001288776
Google Inc.
GOOG
0001032455
DOERR L JOHN
C/O KLEINER PERKINS CAUFIELD & BYERS
2750 SAND HILL ROAD
MENLO PARK
CA
94025
1
Class A Common Stock
2011-11-30
4
C
0
34400
0
A
34400
I
Vallejo Ventures Trust
Class A Common Stock
2011-11-30
5
G
0
E
34400
0
D
0
I
Vallejo Ventures Trust
Class A Common Stock
2011-11-30
5
G
0
E
34400
0
A
143596
I
The Benificus Foundation
Google Stock Unit
2011-12-02
4
C
0
46
0
D
454
D
Class A Common Stock
2011-12-02
4
C
0
46
0
A
945
D
Class A Common Stock
18656
I
Blake H. Byers Trust
Class A Common Stock
18656
I
Chad A. Byers Trust
Google Stock Unit
604
D
Google Stock Unit
483
D
Class B Common Stock
0
2011-11-30
4
C
0
34400
0
D
Class A Common Stock
34400
1481580
I
Vallejo Ventures Trust
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.
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.
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: 1/48th of GSUs shall vest on the 25th day of the first month after the vesting start date (July 6, 2011) and an additional 1/48th will vest monthly thereafter until the units are fully vested, subject to continued service on such vesting dates.
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/ Patty Chang, attorney-in-fact for L. John Doerr
2011-12-02