SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Khadder Nicholas

(Last) (First) (Middle)
C/O AMYRIS, INC.
5885 HOLLIS STREET, SUITE 100

(Street)
EMERYVILLE CA 94608

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
02/13/2014
3. Issuer Name and Ticker or Trading Symbol
AMYRIS, INC. [ AMRS ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
General Counsel & Secretary
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 6,666(1) D
Common Stock 26,666(2) D
Common Stock 66,500(3) D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option (Right to Buy) (4) 04/09/2022 Common Stock 5,600 $3.86 D
Stock Option (Right to Buy) (5) 12/10/2020 Common Stock 25,000 $16(6) D
Stock Option (Right to Buy) (7) 06/11/2022 Common Stock 10,500 $2.6 D
Stock Option (Right to Buy) (8) 07/22/2023 Common Stock 45,000 $2.79 D
Stock Option (Right to Buy) (9) 12/16/2023 Common Stock 100,000 $2.94 D
Explanation of Responses:
1. Represents a restricted stock unit award that vests in three successive equal annual installments, with the first 1/3rd of the units vested on April 9, 2013.
2. Represents a restricted stock unit award that vests in three successive equal annual installments, with the first 1/3rd of the units vested on April 1, 2013.
3. Represents a restricted stock unit award that vests in three successive equal annual installments, with the first 1/3rd of the units vesting on October 1, 2014.
4. The stock option vests as to 1/48th of the total number of shares subject to the option in equal monthly installments.
5. The stock option vested as to 1/5th of the total number of shares subject to the option on October 25, 2011, and thereafter vests as to 1/60th of the total number of shares subject to the option in equal monthly installments.
6. The stock option was originally granted on December 10, 2010 with an exercise price of $24.20 per share. The stockholders approved at the Issuer's annual meeting of stockholders held on May 24, 2012 a one-time stock option re-pricing program in which the Issuer's employees with eligible stock options would receive a one-time reduction in the exercise price for such options to $16.00 per share.
7. The stock option vests as to 1/48th of the total number of shares subject to the option in equal monthly installments.
8. The stock option vests as to 1/4th of the total number of shares subject to the option on April 1, 2014, and thereafter vests as to 1/48th of the total number of shares subject to the option in equal monthly installments.
9. The stock option vests as to 1/4th of the total number of shares subject to the option on October 1, 2014, and thereafter vests as to 1/48th of the total number of shares subject to the option in equal monthly installments.
Remarks:
/s/ Nicholas Khadder 02/14/2014
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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