SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Khosla Ventures II, L.P.

(Last) (First) (Middle)
3000 SAND HILL ROAD
BUILDING 3, SUITE 190

(Street)
MENLO PARK CA 94025

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
AMYRIS, INC. [ AMRS ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
09/30/2010
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 09/30/2010 C 419,687 A (1) 564,853 I See Footnote(2)
Common Stock 09/30/2010 C 3,179,674 A (3) 3,179,674 I See Footnote(4)
Common Stock 09/30/2010 C 155,311 A (5) 3,334,985 I See Footnote(4)
Common Stock 09/30/2010 C 58,472 A (3) 58,472 D(6)
Common Stock 09/30/2010 C 2,856 A (5) 61,328 D(6)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Series A Convertible Preferred Stock (3) 09/30/2010 C 3,179,674 (3) (3) Common Stock 3,179,674 $0 0 I See Footnote(4)
Series B Convertible Preferred Stock (5) 09/30/2010 C 138,919 (5) (5) Common Stock 155,311 $0 0 I See Footnote(4)
Series C Convertible Preferred Stock (1) 09/30/2010 C 419,687 (1) (1) Common Stock 419,687 $0 0 I See Footnote(2)
Series A Convertible Preferred Stock (3) 09/30/2010 C 58,472 (3) (3) Common Stock 58,472 $0 0 D(6)
Series B Convertible Preferred Stock (5) 09/30/2010 C 2,555 (5) (5) Common Stock 2,856 $0 0 D(6)
1. Name and Address of Reporting Person*
Khosla Ventures II, L.P.

(Last) (First) (Middle)
3000 SAND HILL ROAD
BUILDING 3, SUITE 190

(Street)
MENLO PARK CA 94025

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
Khosla Ventures Associates II, LLC

(Last) (First) (Middle)
3000 SAND HILL ROAD
BUILDING 3, SUITE 190

(Street)
MENLO PARK CA 94025

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
Khosla Ventures III, L.P.

(Last) (First) (Middle)
3000 SAND HILL ROAD
BUILDING 3, SUITE 190

(Street)
MENLO PARK CA 94025

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
Khosla Ventures Associates III, LLC

(Last) (First) (Middle)
3000 SAND HILL ROAD
BUILDING 3, SUITE 190

(Street)
MENLO PARK CA 94025

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
VK Services, LLC

(Last) (First) (Middle)
3000 SAND HILL ROAD
BUILDING 3, SUITE 190

(Street)
MENLO PARK CA 94025

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
Explanation of Responses:
1. Each share of the Issuer's Series C Preferred Stock converted automatically into shares of the Issuer's Common Stock on a 1 to 1 basis immediately prior to the closing of the Issuer's initial public offering and had no expiration date.
2. The securities are owned by Khosla Ventures III, L.P. ("Khosla III"). Khosla Ventures Associates III, LLC ("KVA III") is the general partner of Khosla III and possesses sole voting and investment control over the shares owned by Khosla III and may be deemed to have indirect beneficial ownership of the shares held by Khosla III. KVA III however owns no securities of the Issuer directly. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of its pecuniary interest therein.
3. Each share of the Issuer's Series A Preferred Stock converted automatically into shares of the Issuer's Common Stock on a 1 to 1 basis immediately prior to the closing of the Issuer's initial public offering and had no expiration date.
4. The securities are owned by Khosla Ventures II, L.P. ("Khosla II"). VK Services, LLC serves as the manager of Khosla Ventures Associates II, LLC ("KVA II"), which serves as the general partner of Khosla II, and VK Services, LLC possesses sole voting and investment control over the shares owned by Khosla II and may be deemed to have indirect beneficial ownership of the shares held by Khosla II. KVA II however owns no securities of the Issuer directly. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of its pecuniary interest therein.
5. Each share of the Issuer's Series B Preferred Stock converted automatically into shares of the Issuer's Common Stock on a 1 to 1.118 basis immediately prior to the closing of the Issuer's initial public offering and had no expiration date.
6. The securities are owned by VK Services, LLC. VK Services, LLC serves as the manager of KVA II.
Remarks:
Exhibit List Exhibit 99 - Joint Filer Information
/s/ Khosla Ventures II, L.P., by Khosla Ventures Associates II, LLC, its General Partner 09/30/2010
/s/ Khosla Ventures Associates II, LLC 09/30/2010
/s/ Khosla Ventures III, L.P., by Khosla Ventures Associates III, LLC, its General Partner 09/30/2010
/s/ Khosla Ventures Associates III, LLC 09/30/2010
/s/ VK Services, LLC, by Vinod Khosla, its Managing Director 09/30/2010
** 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 4 (b)(v).
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