FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
Google Inc. [ GOOG ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 02/08/2005 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Class A Common Stock | 71,445 | I | KPCB Partnerships(1) | |||||||
Class A Common Stock | 16,770 | I | Chad A. Byers Trust(2) | |||||||
Class A Common Stock | 16,770 | I | Blake H. Byers Trust(2) | |||||||
Class A Common Stock | 1,010 | I | Byers Trust dtd 7/25/86(2) | |||||||
Class A Common Stock(3) | 02/08/2005 | C | 63,437 | A | $0 | 63,437 | D | |||
Class A Common Stock | 02/08/2005 | S | 1,800 | D | $198.61 | 61,637 | D | |||
Class A Common Stock | 02/08/2005 | S | 200 | D | $198.6 | 61,437 | D | |||
Class A Common Stock | 02/08/2005 | S | 500 | D | $198.55 | 60,937 | D | |||
Class A Common Stock | 02/08/2005 | S | 1,100 | D | $198.54 | 59,837 | D | |||
Class A Common Stock | 02/08/2005 | S | 300 | D | $198.53 | 59,537 | D | |||
Class A Common Stock | 02/08/2005 | S | 1,300 | D | $198.52 | 58,237 | D | |||
Class A Common Stock | 02/08/2005 | S | 1,500 | D | $198.5 | 56,737 | D | |||
Class A Common Stock | 02/08/2005 | S | 1,000 | D | $198.47 | 55,737 | D | |||
Class A Common Stock | 02/08/2005 | S | 800 | D | $198.46 | 54,937 | D | |||
Class A Common Stock | 02/08/2005 | S | 900 | D | $198.45 | 54,037 | D | |||
Class A Common Stock | 02/08/2005 | S | 2,100 | D | $198.44 | 51,937 | D | |||
Class A Common Stock | 02/08/2005 | S | 100 | D | $198.42 | 51,837 | D | |||
Class A Common Stock | 02/08/2005 | S | 200 | D | $198.41 | 51,637 | D | |||
Class A Common Stock | 02/08/2005 | S | 4,756 | D | $198.4 | 46,881 | D | |||
Class A Common Stock | 02/08/2005 | S | 1,098 | D | $198.39 | 45,783 | D | |||
Class A Common Stock | 02/08/2005 | S | 2,315 | D | $198.38 | 43,468 | D | |||
Class A Common Stock | 02/08/2005 | S | 9,700 | D | $198.37 | 33,768 | D | |||
Class A Common Stock | 02/08/2005 | S | 210 | D | $198.36 | 33,558 | D | |||
Class A Common Stock | 02/08/2005 | S | 1,300 | D | $198.35 | 32,258 | D | |||
Class A Common Stock | 02/08/2005 | S | 2,937 | D | $198.33 | 29,321 | D |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Class B Common Stock | $0 | 02/08/2005 | C | 63,437 | 02/08/2005 | (4) | Class A Common Stock | 63,437 | $0 | 1,768,985 | D | ||||
Class B Common Stock | $0 | 02/08/2005 | (4) | Class A Common Stock | 1,855,351 | 1,855,351 | I | KPCB Partnerships(1) | |||||||
Class B Common Stock | $0 | 02/08/2005 | (4) | Class A Common Stock | 1,775,751 | 1,775,751 | I | Vallejo Ventures Trust(5) |
Explanation of Responses: |
1. Includes shares held by Kleiner Perkins Caufield & Byers IX-A, LP, Kleiner Perkins Caufield & Byers IX-B, LP and KPCB Information Sciences Zaibatsu Fund II, LP, investment funds of which Mr. Doerr is a manager of the general partner. Mr. Doerr disclaims beneficial ownership except to the extent of his pecuniary interest in his distributive shares therein. |
2. Mr. Doerr is trustee of these trusts and has voting and investment authority over the shares held by the trusts. Mr. Doerr disclaims any pecuniary interest therein. |
3. 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. |
4. There is no expiration date for the Issuer's Class B Common Stock. |
5. Mr. Doerr is a trustee of Vallejo Ventures Trust and shares voting and investment authority over the shares. |
Remarks: |
Form 4 Filing 1 of 2 (continuation report): Related transactions effected by the Reporting Person on February 8, 2005 are reported on additional Forms 4. |
Matthew M. Tolland as attorney-in-fact for L. John Doerr | 02/09/2005 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |