-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, H9X/ZWX6xZraeFZPb2aBdCAfsWFrOlLJ8GH6MT8ncOfKIDh3aO0rci3PRLGh9+Mj 9i0BP90XClnBYROLOjoIRQ== 0001209191-05-051366.txt : 20051006 0001209191-05-051366.hdr.sgml : 20051006 20051006133730 ACCESSION NUMBER: 0001209191-05-051366 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20051004 FILED AS OF DATE: 20051006 DATE AS OF CHANGE: 20051006 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: GENOMIC HEALTH INC CENTRAL INDEX KEY: 0001131324 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MEDICAL LABORATORIES [8071] IRS NUMBER: 770552594 BUSINESS ADDRESS: STREET 1: 301 PENOBSCOT DRIVE CITY: REDWOOD CITY STATE: CA ZIP: 94063 BUSINESS PHONE: 650-556-9300 MAIL ADDRESS: STREET 1: 301 PENOBSCOT DRIVE CITY: REDWOOD CITY STATE: CA ZIP: 94063 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KLEINER PERKINS CAUFIELD & BYERS X B LP CENTRAL INDEX KEY: 0001128699 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-51541 FILM NUMBER: 051126793 BUSINESS ADDRESS: STREET 1: 2750 SAND HILL ROAD CITY: MENLO PARK STATE: CA ZIP: 94025 4 1 bpa13212_bpa22kp.xml MAIN DOCUMENT DESCRIPTION X0202 4 2005-10-04 1 0001131324 GENOMIC HEALTH INC GHDX 0001128699 KLEINER PERKINS CAUFIELD & BYERS X B LP 2750 SAND HILL ROAD MENLO PARK CA 94025 0 0 1 0 Common Stock 2005-10-04 4 C 0 34774 0 A 34774 D Common Stock 2005-10-04 4 C 0 9125 0 A 43899 D Common Stock 2005-10-04 4 J 0 1775 0 A 45674 D Series B Preferred Stock 2005-10-04 4 C 0 104324 0 D Common Stock 34774 0 D Series E Preferred Stock 2005-10-04 4 C 0 27376 0 D Common Stock 9125 0 D On September 8, 2005, the Issuer declared a conditional dividend of 791,210 shares of Common Stock to be distributed on a pro rata basis to the Issuer's stockholders of record at the commencement of the Issuer's initial public offering ("IPO") if the price per share of the Issuer's Common Stock sold in the IPO is $11.40 or greater. As a result, the Reporting Person received 1,775 shares of Common Stock as of October 4, 2005, the closing date of the IPO. Every 3 shares of Preferred Stock were converted into 1 share of Common Stock upon consummation of the IPO. This conversion rate is reflected in the amount of securities underlying the derivative security reported in column 7. These securities are exercisable immediately. These securities do not have an expiration date. General Remarks: /s/ Susan M. Biglieri, Attorney-In-Fact 2005-10-04 EX-24 2 bpa13212_bpa22kp-ex24.htm POWER OF ATTORNEY POWER OF ATTORNEY
Exhibit 24.1
POWER OF ATTORNEY
     The undersigned hereby constitutes and appoints each of John A. Denniston and Susan Biglieri, signing singly, the undersigned’s attorneys-in-fact with the power of substitution for the undersigned in any and all capacities, to sign and file any and all forms, schedules, statements and other documents required to be filed by the undersigned with the Securities and Exchange Commission, including but not limited to all Forms 3, Forms 4, Forms 5, Schedules 13D, and Schedules 13G, with respect to any shares of stock or other securities held directly or indirectly by the undersigned. The authority of said attorneys-in-fact under this Power of Attorney shall continue until the undersigned is no longer required to file any such forms, schedules, statements and other documents with the Securities and Exchange Commission, unless earlier revoked in writing. The undersigned hereby ratifies and confirms all that said attorneys-in-fact may do or cause to be done by virtue hereof. The undersigned hereby acknowledges that said attorneys-in-fact are not assuming any of the undersigned’s responsibilities to comply with Section 13 or Section 16 of the Securities Exchange Act of 1934.
                     
DATED:
  August 1, 2002                
 
                   
 
                    
EXPIRES:
  December 31, 2005                
 
                   
 
                    
            KLEINER PERKINS CAUFIELD & BYERS X-B, L.P.,
            A California partnership
 
                    
            By: KPCB X Associates, LLC,
            A California limited liability company, its general partner
 
                    
 
          By:   /s/ Brook Byers    
 
                   
 
                    
 
          Name:   Brook Byers    
 
                   
 
              A Managing Director    

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