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