0001365916-21-000013.txt : 20210504 0001365916-21-000013.hdr.sgml : 20210504 20210504203320 ACCESSION NUMBER: 0001365916-21-000013 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210501 FILED AS OF DATE: 20210504 DATE AS OF CHANGE: 20210504 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KELSEY NICOLE CENTRAL INDEX KEY: 0001714653 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34885 FILM NUMBER: 21890758 MAIL ADDRESS: STREET 1: AMYRIS, INC. STREET 2: 5885 HOLLIS STREET, SUITE 100 CITY: EMERYVILLE STATE: CA ZIP: 94608 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AMYRIS, INC. CENTRAL INDEX KEY: 0001365916 STANDARD INDUSTRIAL CLASSIFICATION: INDUSTRIAL ORGANIC CHEMICALS [2860] IRS NUMBER: 550856151 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 5885 HOLLIS STREET, SUITE 100 CITY: EMERYVILLE STATE: CA ZIP: 94608 BUSINESS PHONE: 510-450-0761 MAIL ADDRESS: STREET 1: 5885 HOLLIS STREET, SUITE 100 CITY: EMERYVILLE STATE: CA ZIP: 94608 FORMER COMPANY: FORMER CONFORMED NAME: AMYRIS BIOTECHNOLOGIES INC DATE OF NAME CHANGE: 20060613 4 1 wf-form4_162017478487509.xml FORM 4 X0306 4 2021-05-01 0 0001365916 AMYRIS, INC. AMRS 0001714653 KELSEY NICOLE C/O AMYRIS, INC. 5885 HOLLIS STREET, SUITE 100 EMERYVILLE CA 94608 0 1 0 0 GENERAL COUNSEL AND SECRETARY Common Stock 2021-05-01 4 F 0 11526 14.56 D 109255 D Shares withheld to satisfy the Reporting Person's tax withholding obligation upon vesting of restricted stock units (RSUs) under RSU award granted on May 29, 2018. /s/ Nicole Kelsey 2021-05-05