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