0001181431-14-003008.txt : 20140117 0001181431-14-003008.hdr.sgml : 20140117 20140117180810 ACCESSION NUMBER: 0001181431-14-003008 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20140115 FILED AS OF DATE: 20140117 DATE AS OF CHANGE: 20140117 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AMYRIS, INC. CENTRAL INDEX KEY: 0001365916 STANDARD INDUSTRIAL CLASSIFICATION: INDUSTRIAL ORGANIC CHEMICALS [2860] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 5885 HOLLIS ST SUITE 100 CITY: EMERYVILLE STATE: CA ZIP: 94608 BUSINESS PHONE: 510-450-0761 MAIL ADDRESS: STREET 1: 5885 HOLLIS ST SUITE 100 CITY: EMERYVILLE STATE: CA ZIP: 94608 FORMER COMPANY: FORMER CONFORMED NAME: AMYRIS BIOTECHNOLOGIES INC DATE OF NAME CHANGE: 20060613 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Boisseau Philippe CENTRAL INDEX KEY: 0001506108 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34885 FILM NUMBER: 14536184 MAIL ADDRESS: STREET 1: 2, PLACE JEAN MILLIER-LA DEFENSE 6, RCS STREET 2: NANTERRE 505 028 118 CITY: PARIS LA DEFENSE CEDEX STATE: I0 ZIP: 92076 4 1 rrd400190.xml FORM 4 X0306 4 2014-01-15 0 0001365916 AMYRIS, INC. AMRS 0001506108 Boisseau Philippe 24 COURS MICHELET 92800 PUTEAUX I0 FRANCE 1 0 1 0 Common Stock 13617212 I By Total Energies Nouvelles Activites USA 1.5% Senior Unsecured Convertible Note Due 2017 ("Note") 7.0682 2014-01-15 4 J 0 24047816.63 0 D Common Stock 24047816.63 0 I By Total Energies Nouvelles Activites USA 1.5% Senior Unsecured Convertible Note Due 2017 ("New Note") 7.0682 2014-01-15 4 P 0 18005751.86 0 A Common Stock 18005751.86 18005751.86 I By Total Energies Nouvelles Activites USA Tranche II Senior Convertible Note ("Tranche Note") 2.87 2014-01-15 4 P 0 6042064.77 0 A Common Stock 6042064.77 6042064.77 I By Total Energies Nouvelles Activites USA Mr. Boisseau, a member of the Issuer's board of directors, is a member of the Executive Committee of Total S.A., the ultimate parent company of Total Energies Nouvelles Activites USA, and, as such, may be deemed to share voting or investment power over the securities held by Total Energies Nouvelles Activites USA. Mr. Boisseau holds no shares of the Issuer directly and disclaims beneficial ownership of the Common Stock, except to the extent of his pecuniary interest therein, if any. Note was cancelled pursuant to that certain Request for Cancellation delivered by the Reporting Person and accepted by the Issuer. The Issuer's obligations under the Note were cancelled upon the issuances of a new 1.5% Senior Unsecured Convertible Note Due 2017 and new Tranche II Senior Convertible Note. The principal amount of the New Note is $18,005,751.86. The New Note is convertible only in those circumstances described in the New Note. The Final Maturity Date as defined in the New Note is March 1, 2017. The principal amount of the Tranche Note is $6,042,064.77. The Tranche Note is convertible only in those circumstances described in the Tranche Note. The Final Maturity Date as defined in the Tranche Note is January 15, 2019. /s/ Philippe Boisseau by Nicholas Khadder, Attorney-in-Fact 2014-01-17