0001209191-15-063117.txt : 20150731
0001209191-15-063117.hdr.sgml : 20150731
20150731165021
ACCESSION NUMBER: 0001209191-15-063117
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150729
FILED AS OF DATE: 20150731
DATE AS OF CHANGE: 20150731
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: 151019858
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
doc4.xml
FORM 4 SUBMISSION
X0306
4
2015-07-29
0
0001365916
AMYRIS, INC.
AMRS
0001506108
Boisseau Philippe
24 COURS MICHELET
92800 PUTEAUX
I0
92800
FRANCE
1
0
1
0
Common Stock
2015-07-29
4
P
0
1282051
1.56
A
14899263
I
See footnote
Common Stock
2015-07-29
4
P
0
30434782
2.30
A
45334045
I
See footnote
1.5% Senior Secured Convertible Note Due 2017
7.0682
2015-07-29
4
J
0
15000000.00
0.00
D
Common Stock
15000000.00
0.00
I
See footnote
1.5% Senior Secured Convertible Note Due 2017
3.08
2015-07-29
4
J
0
10000000.00
0.00
D
Common Stock
10000000.00
0.00
I
See footnote
1.5% Senior Secured Convertible Note Due 2017
3.08
2015-07-29
4
J
0
20000000.00
0.00
D
Common Stock
20000000.00
0.00
I
See footnote
1.5% Senior Secured Convertible Note Due 2017
7.0682
2015-07-29
4
J
0
8300751.86
0.00
D
Common Stock
8300751.86
0.00
I
See footnote
1.5% Senior Secured Convertible Note Due 2017
4.11
2015-07-29
4
J
0
10850000.00
0.00
D
Common Stock
10850000.00
0.00
I
See footnote
1.5% Senior Secured Convertible Note Due 2017
4.11
2015-07-29
4
J
0
10850000.00
0.00
D
Common Stock
10850000.00
0.00
I
See footnote
1.5% Senior Secured Convertible Note Due 2017
3.08
2015-07-29
4
P
0
5000751.86
0.00
A
Common Stock
5000751.86
5000751.86
I
See footnote
Warrants (right to buy)
0.01
2015-07-29
4
P
0
128205
0.00
A
2020-07-29
Common Stock
128205
128205
I
See footnote
Warrants (right to buy)
0.01
2015-07-29
4
P
0
2000000
0.00
A
2020-07-29
Common Stock
2000000
2000000
I
See footnote
Warrants (right to buy)
0.01
2015-07-29
4
P
0
0
0.00
A
2020-07-29
Common Stock
0
0
I
See footnote
Purchase was pursuant to that certain Securities Purchase Agreement dated as of July 24, 2015 by and between the Issuer and the purchasers set forth therein, including Total Energies Nouvelles Activites USA (the "Purchase Agreement").
Held of record by Total Energies Nouvelles Activites USA. Mr. Boisseau, a member of the Issuer's board of directors by deputization, 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.
Shares were issued in exchange for certain Convertible Notes as listed in Table II below, and pursuant to that certain Exchange Agreement dated as of July 26, 2015 by and between the Issuer and the investors set forth therein, including Total Energies Nouvelles Activites USA (the "Exchange Agreement").
Note was cancelled pursuant to the Exchange Agreement and that certain Request For Cancellation of Convertible Notes dated July 29, 2015 delivered by Total Energies Nouvelles Activites USA to the Issuer (the "Cancellation Request").
Note was cancelled pursuant to the Exchange Agreement and the Cancellation Request. The Issuer's obligations under the note were cancelled upon the issuance of a new 1.5% Senior Secured Convertible Note Due 2017.
Issued pursuant to the Exchange Agreement and the Cancellation Request. The Issuer's obligations under the original note were cancelled upon the issuance of this new 1.5% Senior Secured Convertible Note Due 2017.
The principal amount of this note is $5,000,751.86. The note is convertible only in those circumstances described in the note. The Final Maturity Date as defined in the note is March 1, 2017.
The shares underlying this warrant will be determined upon satisfaction of the Exercise Condition as described in the warrant.
This warrant is exercisable upon satisfaction of the Exercise Condition as described in the warrant.
Warrant was issued in connection with the Exchange Agreement.
The transactions of the securities reported on this form were pre-approved by the Issuer's board of directors pursuant to Rule 16b-3.
/s/ Philippe Boisseau by Nicholas Khadder, Attorney-in-Fact
2015-07-31