0001144204-17-014591.txt : 20170314
0001144204-17-014591.hdr.sgml : 20170314
20170314204708
ACCESSION NUMBER: 0001144204-17-014591
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170310
FILED AS OF DATE: 20170314
DATE AS OF CHANGE: 20170314
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: VERACYTE, INC.
CENTRAL INDEX KEY: 0001384101
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MEDICAL LABORATORIES [8071]
IRS NUMBER: 205455398
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 6000 SHORELINE COURT, SUITE 300
CITY: SOUTH SAN FRANCISCO
STATE: CA
ZIP: 94080
BUSINESS PHONE: (650) 243-6300
MAIL ADDRESS:
STREET 1: 6000 SHORELINE COURT, SUITE 300
CITY: SOUTH SAN FRANCISCO
STATE: CA
ZIP: 94080
FORMER COMPANY:
FORMER CONFORMED NAME: CALDEROME INC
DATE OF NAME CHANGE: 20061219
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: KPCB XII Associates, LLC
CENTRAL INDEX KEY: 0001500599
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36156
FILM NUMBER: 17689589
BUSINESS ADDRESS:
STREET 1: 2750 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 650-233-2750
MAIL ADDRESS:
STREET 1: 2750 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: KPCB XII Founders Fund, LLC
CENTRAL INDEX KEY: 0001500600
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36156
FILM NUMBER: 17689590
BUSINESS ADDRESS:
STREET 1: 2750 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 650-233-2750
MAIL ADDRESS:
STREET 1: 2750 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: KLEINER PERKINS CAUFIELD & BYERS XII, LLC
CENTRAL INDEX KEY: 0001355934
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36156
FILM NUMBER: 17689591
BUSINESS ADDRESS:
STREET 1: 2750 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
BUSINESS PHONE: 650-233-2750
MAIL ADDRESS:
STREET 1: 2750 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
FORMER NAME:
FORMER CONFORMED NAME: KLEINER PERKINS CAUFIELD & BYERS XII LLC
DATE OF NAME CHANGE: 20060313
4
1
v461866_form4.xml
FORM 4
X0306
4
2017-03-10
1
0001384101
VERACYTE, INC.
VCYT
0001355934
KLEINER PERKINS CAUFIELD & BYERS XII, LLC
2750 SAND HILL ROAD
MENLO PARK
CA
94025
0
0
1
0
0001500600
KPCB XII Founders Fund, LLC
2750 SAND HILL ROAD
MENLO PARK
CA
94025
0
0
1
0
0001500599
KPCB XII Associates, LLC
2750 SAND HILL ROAD
MENLO PARK
CA
94025
0
0
1
0
Common Stock
2017-03-10
4
J
0
750000
0
D
2801929
I
KPCB Holdings, Inc., As Nominee
Represents a pro-rata in-kind distribution of Common Stock of the Issuer without consideration to the members of Kleiner Perkins Caufield & Byers XII, LLC and KPCB XII Founders Fund, LLC and a change in the form of beneficial ownership for individuals and entities associated with Kleiner Perkins Caufield & Byers.
Consists of shares beneficially owned by Kleiner Perkins Caufield & Byers XII, LLC, or KPCB XII; shares beneficially owned by KPCB XII Founders Fund, LLC, or KPCB XII FF; and shares beneficially owned by individuals and entities associated with Kleiner Perkins Caufield & Byers. All shares are held for convenience in the name of "KPCB Holdings, Inc. as Nominee" for the accounts of such individuals and entities who each exercise their own voting and dispositive power over such shares. The managing member of KPCB XII and KPCB XII FF is KPCB XII Associates, LLC ("KPCB XII Associates"). Brook H. Byers, L. John Doerr, Raymond J. Lane and Theodore E. Schlein, the managers of KPCB XII Associates, exercise shared voting and dispositive power over the shares directly held by KPCB XII and KPCB XII FF.
/s/ Susan Biglieri, Chief Financial Officer
2017-03-14
/s/ Susan Biglieri, Chief Financial Officer
2017-03-14
/s/ Susan Biglieri, Chief Financial Officer
2017-03-14