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*
Patel Mark

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

(Street)
EMERYVILLE CA 94608

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
05/03/2012
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)
SVP, Commercial Operations
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 60,000 (1) D
Common Stock 100,000 (2) 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) (3) 09/27/2020 Common Stock 120,000 16.5 D
Stock Option (Right to Buy) (4) 04/10/2021 Common Stock 18,000 27.13 D
Stock Option (Right to Buy) (5) 04/08/2022 Common Stock 30,000 3.86 D
Explanation of Responses:
1. Represents a restricted stock unit award that vests in 3 successive equal annual installments, with the first 1/3rd of the units vesting on April 1, 2013.
2. Represents a restricted stock unit award that vests as to 100% of the units subject to the award on April 1, 2014.
3. Stock option vests as to 1/5th of the total number of shares subject to the option on August 23, 2011, and thereafter shall vest as to 1/60th of the total number of shares subject to the option in equal monthly installments.
4. Stock option vests as to 1/48th of the total number of shares subject to the option on February 1, 2011, and thereafter shall vest as to 1/48th of the total number of shares subject to the option in equal monthly installments.
5. Stock option vests as to 1/48th of the total number of shares subject to the option on May 1, 2012, and thereafter shall vest as to 1/48th of the total number of shares subject to the option in equal monthly installments.
Remarks:
/s/ Mark Patel by Nicholas Khadder, Attorney-in-Fact 05/11/2012
** 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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