0001365916-19-000088.txt : 20191202
0001365916-19-000088.hdr.sgml : 20191202
20191202202201
ACCESSION NUMBER: 0001365916-19-000088
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20191127
FILED AS OF DATE: 20191202
DATE AS OF CHANGE: 20191202
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: 191264376
MAIL ADDRESS:
STREET 1: C/O KLEINER PERKINS CAUFIELD & BYERS
STREET 2: 2750 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
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
edgar.xml
PRIMARY DOCUMENT
X0306
4
2019-11-27
0001365916
AMYRIS, INC.
AMRS
0001032455
DOERR L JOHN
C/O AMYRIS, INC.
5885 HOLLIS STREET, SUITE 100
EMERYVILLE
CA
94608
1
0
1
0
Warrant (Right to Buy)
3.87
2019-11-27
4
P
0
1000000
A
2019-11-27
2021-11-27
Common Stock
1000000
1000000
I
By Foris Ventures, LLC
This warrant was issued in connection with a $10.0 million loan made by Foris Ventures, LLC ("Foris") to the Issuer on November 27, 2019 under the Amended and Restated Loan and Security Agreement, dated October 28, 2019, among the Issuer, certain subsidiaries of the Issuer and Foris.
The Reporting Person indirectly holds all of the membership interests in Foris. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein.
/s/ L. John Doerr by Stephen Dobson, Attorney-in-Fact
2019-12-02