0001104659-19-063141.txt : 20191113 0001104659-19-063141.hdr.sgml : 20191113 20191113130354 ACCESSION NUMBER: 0001104659-19-063141 CONFORMED SUBMISSION TYPE: 13F-HR PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20190930 FILED AS OF DATE: 20191113 DATE AS OF CHANGE: 20191113 EFFECTIVENESS DATE: 20191113 FILER: COMPANY DATA: COMPANY CONFORMED NAME: KPCB XII Associates, LLC CENTRAL INDEX KEY: 0001500599 IRS NUMBER: 204394425 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 13F-HR SEC ACT: 1934 Act SEC FILE NUMBER: 028-19310 FILM NUMBER: 191212864 BUSINESS ADDRESS: STREET 1: 2750 SAND HILL ROAD CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650-233-2750 MAIL ADDRESS: STREET 1: 2750 SAND HILL ROAD CITY: MENLO PARK STATE: CA ZIP: 94025 13F-HR 1 primary_doc.xml 13F-HR LIVE false false false 0001500599 XXXXXXXX 09-30-2019 09-30-2019 false KPCB XII Associates, LLC
2750 Sand Hill Road Menlo Park CA 94025
13F HOLDINGS REPORT 028-19310 N
Susan Biglieri Attorney-in-Fact 650-233-2750 /s/ Susan Biglieri Menlo Park CA 11-06-2019 0 3 51441
INFORMATION TABLE 2 infotable.xml Amyris Biotechnologies, Inc. Common Stock 03236M101 1203 252834 SH SOLE 252834 0 0 Carbon Black, Inc. Common Stock 14081R103 26049 1002253 SH SOLE 1002253 0 0 Inspire Medical Systems, Inc. Common Stock 457730109 24189 396406 SH SOLE 396406 0 0