0000899243-23-008443.txt : 20230314 0000899243-23-008443.hdr.sgml : 20230314 20230314171940 ACCESSION NUMBER: 0000899243-23-008443 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230310 FILED AS OF DATE: 20230314 DATE AS OF CHANGE: 20230314 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DOERR L JOHN CENTRAL INDEX KEY: 0001032455 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34885 FILM NUMBER: 23732050 MAIL ADDRESS: STREET 1: C/O KLEINER PERKINS CAUFIELD & BYERS STREET 2: 2750 SAND HILL ROAD CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Foris Ventures, LLC CENTRAL INDEX KEY: 0001749713 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34885 FILM NUMBER: 23732049 BUSINESS ADDRESS: STREET 1: 751 LAUREL STREET, #717 CITY: SAN CARLOS STATE: CA ZIP: 94070 BUSINESS PHONE: 650-384-0240 MAIL ADDRESS: STREET 1: 751 LAUREL STREET, #717 CITY: SAN CARLOS STATE: CA ZIP: 94070 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Doerr Ann Howland CENTRAL INDEX KEY: 0001750962 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34885 FILM NUMBER: 23732048 MAIL ADDRESS: STREET 1: 751 LAUREL STREET, #717 CITY: SAN CARLOS STATE: CA ZIP: 94070 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hager Barbara CENTRAL INDEX KEY: 0001750733 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34885 FILM NUMBER: 23732047 MAIL ADDRESS: STREET 1: 751 LAUREL STREET, #717 CITY: SAN CARLOS STATE: CA ZIP: 94070 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Vallejo Ventures Trust UTA 21296 CENTRAL INDEX KEY: 0001750751 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34885 FILM NUMBER: 23732046 BUSINESS ADDRESS: STREET 1: 751 LAUREL STREET, #717 CITY: SAN CARLOS STATE: CA ZIP: 94070 BUSINESS PHONE: 6503840240 MAIL ADDRESS: STREET 1: 751 LAUREL STREET, #717 CITY: SAN CARLOS STATE: CA ZIP: 94070 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 doc4.xml FORM 4 SUBMISSION X0306 4 2023-03-10 0 0001365916 AMYRIS, INC. AMRS 0001032455 DOERR L JOHN C/O AMYRIS, INC. 5885 HOLLIS STREET, SUITE 100 EMERYVILLE CA 94608 1 0 1 0 0001749713 Foris Ventures, LLC 1180 SAN CARLOS AVENUE, #717 SAN CARLOS CA 94070 0 0 1 0 0001750962 Doerr Ann Howland 1180 SAN CARLOS AVENUE, #717 SAN CARLOS CA 94070 0 0 1 0 0001750733 Hager Barbara 1180 SAN CARLOS AVENUE, #717 SAN CARLOS CA 94070 0 0 1 0 0001750751 Vallejo Ventures Trust UTA 21296 1180 SAN CARLOS AVENUE, #717 SAN CARLOS CA 94070 0 0 1 0 Warrant (Right to Buy) 1.30 2023-03-10 4 A 0 2046036 0.00 A 2022-09-13 2025-09-13 Common Stock 2046036 2046036 I By Foris Ventures, LLC Warrant (Right to Buy) 3.91 2023-03-10 4 D 0 2046036 0.00 D 2022-09-13 2025-09-13 Common Stock 2046036 0 I By Foris Ventures, LLC This warrant was originally issued in connection with the entry into that certain Loan and Security Agreement dated September 13, 2022 among the Issuer, certain subsidiaries of the Issuer and Foris Ventures, LLC ("FV") to purchase up to 2,046,036 shares of the Issuer's common stock at an exercise price of $3.91 per share. On March 10, 2023, in connection with the entry into that certain Loan and Security Agreement, dated as of March 10, 2023, by and among the Issuer, certain subsidiaries of the Issuer and Perrara Ventures, LLC (an affiliate of FV), FV and the Issuer amended the exercise price of the warrant from $3.91 per share to $1.30 per share. Other than the change to the exercise price, the terms of the warrant, including the number of shares underlying the warrant, are unchanged. L. John Doerr ("John Doerr") indirectly holds all of the membership interests in FV. John Doerr disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein. Barbara Hager, the manager of FV, may be deemed to have sole power to vote and dispose of the shares held by FV. The Vallejo Ventures Trust U/T/A 2/12/96 ("VVT"), the member of FV, may be deemed to have sole power to vote and dispose of these securities and John Doerr and Ann Doerr, the trustees of VVT, and Barbara Hager, the special trustee of VVT, may be deemed to have shared power to vote and dispose of the reported securities. Each of John Doerr, Ann Doerr and Barbara Hager disclaims beneficial ownership of the reported securities except to the extent of their pecuniary interest therein. FV and VVT are represented on the Issuer's board of directors by John Doerr and Ryan Panchadsaram. Accordingly, each of the Reporting Persons is deemed to be a director by deputization. The Reporting Persons are jointly filing this Form 4 pursuant to Rule 16a-3(j) under the Exchange Act. /s/ L. John Doerr, by Barbara Hager as his attorney in fact 2023-03-14 /s/ Ann Howland Doerr, by Barbara Hager as her attorney in fact 2023-03-14 /s/ Vallejo Ventures Trust UTA 21296, by Barbara Hager as Special Trustee 2023-03-14 /s/ Foris Ventures, LLC, by Barbara Hager as manager 2023-03-14 /s/ Barbara Hager 2023-03-14