0001127602-15-020019.txt : 20150608 0001127602-15-020019.hdr.sgml : 20150608 20150608143604 ACCESSION NUMBER: 0001127602-15-020019 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150605 FILED AS OF DATE: 20150608 DATE AS OF CHANGE: 20150608 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MATHER ANN CENTRAL INDEX KEY: 0001244892 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36380 FILM NUMBER: 15918210 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2015-06-05 0001288776 Google Inc. GOOG 0001244892 MATHER ANN C/O GOOGLE INC. 1600 AMPHITHEATRE PARKWAY MOUNTAIN VIEW CA 94043 1 Class A Common Stock 2015-06-05 4 M 0 1000 0 A 2378 D Class A Common Stock 2015-06-05 4 S 0 1000 552.00 D 1378 D Class C Capital Stock 2015-06-05 4 M 0 1000 0 A 2541 D Class C Capital Stock 2015-06-05 4 S 0 1000 536.35 D 1541 D Class C Google Stock Unit 28 D Class C Google Stock Unit 483 D Class C Google Stock Unit 207 D Class C Google Stock Unit 164 D Class A Google Stock Unit 28 D Class A Google Stock Unit 207 D Class A Google Stock Unit 164 D Option To Purchase Class A Common Stock 207.4591 2015-06-05 4 M 0 1000 0 D 2005-12-01 2015-12-01 Class A Common Stock 1000 9000 D Option to Purchase Class C Capital Stock 206.631 2015-06-05 4 M 0 1000 0 D 2014-04-02 2015-12-01 Class C Capital Stock 1000 9000 D On January 29, 2014, Google Inc. declared a stock dividend, as a result of which all holders of record of Class A Common Stock on March 27, 2014 received on April 2, 2014 one share of Class C Capital Stock for each share of Class A Common Stock outstanding (the "Stock Dividend"). This option was previously reported as an option for 12,000 shares of Class A Common Stock at an exercise price of $414.09 per share, but was adjusted to reflect the Stock Dividend. As a result of adjustment, the option now entitles the Reporting Person to exercise a portion of the option for 12,000 shares of Class C Capital Stock, and the exercise price has been adjusted so that the portion of the option covering Class A Common Stock now has an exercise price of $207.4591 and the portion of the option covering Class C Capital Stock has an exercise price of $206.631 per share. The option is a subject to the terms and conditions of Google Inc.'s 2004 Stock Plan and is fully vested. All transactions reported in this Form 4 were effected pursuant to a Rule 10b5-1 Trading Plan adopted by the Reporting Person. /s/ Valentina Margulis, as attorney-in-fact for Ann Mather 2015-06-08