0001127602-15-017080.txt : 20150513
0001127602-15-017080.hdr.sgml : 20150513
20150513151406
ACCESSION NUMBER: 0001127602-15-017080
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150512
FILED AS OF DATE: 20150513
DATE AS OF CHANGE: 20150513
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Google Inc.
CENTRAL INDEX KEY: 0001288776
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING, DATA PROCESSING, ETC. [7370]
IRS NUMBER: 770493581
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1600 AMPHITHEATRE PARKWAY
CITY: MOUNTAIN VIEW
STATE: CA
ZIP: 94043
BUSINESS PHONE: 650 623 4000
MAIL ADDRESS:
STREET 1: 1600 AMPHITHEATRE PARKWAY
CITY: MOUNTAIN VIEW
STATE: CA
ZIP: 94043
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MATHER ANN
CENTRAL INDEX KEY: 0001244892
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36380
FILM NUMBER: 15858001
4
1
form4.xml
PRIMARY DOCUMENT
X0306
4
2015-05-12
0001288776
Google Inc.
GOOG
0001244892
MATHER ANN
C/O GOOGLE INC.
1600 AMPHITHEATRE PARKWAY
MOUNTAIN VIEW
CA
94043
1
Class A Common Stock
2015-05-12
4
M
0
1000
0
A
2343
D
Class C Capital Stock
2015-05-12
4
M
0
1000
0
A
2493
D
Class A Common Stock
2015-05-12
4
S
0
1000
542.81
D
1343
D
Class C Capital Stock
2015-05-12
4
S
0
1000
531.60
D
1493
D
Class C Google Stock Unit
42
D
Class C Google Stock Unit
496
D
Class C Google Stock Unit
216
D
Class C Google Stock Unit
176
D
Class A Google Stock Unit
42
D
Class A Google Stock Unit
216
D
Class A Google Stock Unit
176
D
Option To Purchase Class A Common Stock
414.09
2015-05-12
4
M
0
1000
0
D
2005-12-01
2015-12-01
Class A Common Stock
1000
10000
D
Option to Purchase Class C Capital Stock
206.631
2015-05-12
4
M
0
1000
0
D
2014-04-02
2015-12-01
Class C Capital Stock
1000
10000
D
Includes 3 dividend shares of Class C capital stock received as an adjustment payment made by Google Inc. to holders of Class C capital stock pursuant to the Revised Stipulation of Compromise and Settlement regarding The Google, Inc. Class C Shareholder Litigation.
The option is a subject to the terms and conditions of Google Inc.'s 2004 Stock Plan and is fully vested.
On January 29, 2014, Google Inc. declared a stock dividend, as a result of which all holders of record of Class A Common Stock on March 27, 2014 received on April 2, 2014 one share of Class C Capital Stock for each share of Class A Common Stock outstanding (the "Stock Dividend"). This option was previously reported as an option for 12,000 shares of Class A Common Stock at an exercise price of $414.09 per share, but was adjusted to reflect the Stock Dividend. As a result of adjustment, the option now entitles the Reporting Person to exercise a portion of the option for 12,000 shares of Class C Capital Stock, and the exercise price has been adjusted so that the portion of the option covering Class A Common Stock now has an exercise price of $207.4591 and the portion of the option covering Class C Capital Stock has an exercise price of $206.631 per share.
All transactions reported in this Form 4 were effected pursuant to a Rule 10b5-1 Trading Plan adopted by the Reporting Person.
/s/ Valentina Margulis, as attorney-in-fact for Ann Mather
2015-05-13