Amyris
AMYRIS, INC. (Form: 4, Received: 09/30/2010 20:32:27)
FORM 4
[ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).         
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
                                                                                  
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public
Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940
                      

1. Name and Address of Reporting Person *

DOERR L JOHN
2. Issuer Name and Ticker or Trading Symbol

AMYRIS, INC. [ AMRS ]
5. Relationship of Reporting Person(s) to Issuer (Check all applicable)

__ X __ Director                      _____ 10% Owner
_____ Officer (give title below)      _____ Other (specify below)
(Last)          (First)          (Middle)

C/O KLEINER PERKINS CAUFIELD & BYERS, 2750 SAND HILL ROAD
3. Date of Earliest Transaction (MM/DD/YYYY)

9/30/2010
(Street)

MENLO PARK, CA 94025
(City)        (State)        (Zip)
4. If Amendment, Date Original Filed (MM/DD/YYYY)

 
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 Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Trans. Date 2A. Deemed Execution Date, if any 3. Trans. Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock   9/30/2010     C    119339   (1) A   (1) 124361   I   By Clarus, LLC   (2)
Common Stock   9/30/2010     C    3068996   (1) A   (1) 3198949   I   By Kleiner Perkins Caufield & Byers XII, LLC   (3)
Common Stock   9/30/2010     C    58648   (1) A   (1) 60303   I   By KPCB XII Founders Fund, LLC   (4)
Common Stock   9/30/2010     C    5829   (5) A   (5) 130190   I   By Clarus, LLC   (2)
Common Stock   9/30/2010     C    149904   (5) A   (5) 3348853   I   By Kleiner Perkins Caufield & Byers XII, LLC   (3)
Common Stock   9/30/2010     C    2865   (5) A   (5) 63168   I   By KPCB XII Founders Fund, LLC   (4)
Common Stock   9/30/2010     C    14517   (1) A   (1) 144707   I   By Clarus, LLC   (2)
Common Stock   9/30/2010     C    375705   (1) A   (1) 3724558   I   By Kleiner Perkins Caufield & Byers XII, LLC   (3)
Common Stock   9/30/2010     C    4784   (1) A   (1) 67952   I   By KPCB XII Founders Fund, LLC   (4)

Table II - Derivative Securities Beneficially Owned ( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivate Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Trans. Date 3A. Deemed Execution Date, if any 4. Trans. Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
6. Date Exercisable and Expiration Date 7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Series A Preferred Stock     (1) 9/30/2010     C         119339   (1)     (1)   (1) Common Stock   119339   (1) $0   0   I   By Clarus, LLC   (2)
Series A Preferred Stock     (1) 9/30/2010     C         3068996   (1)     (1)   (1) Common Stock   3068996   (1) $0   0   I   By Kleiner Perkins Caufield & Byers XII, LLC   (3)
Series A Preferred Stock     (1) 9/30/2010     C         58648   (1)     (1)   (1) Common Stock   58648   (1) $0   0   I   By KPCB XII Founders Fund, LLC   (4)
Series B Preferred Stock     (5) 9/30/2010     C         5214   (5)     (5)   (5) Common Stock   5829   (5) $0   0   I   By Clarus, LLC   (2)
Series B Preferred Stock     (5) 9/30/2010     C         134082   (5)     (5)   (5) Common Stock   149904   (5) $0   0   I   By Kleiner Perkins Caufield & Byers XII, LLC   (3)
Series B Preferred Stock     (5) 9/30/2010     C         2563   (5)     (5)   (5) Common Stock   2865   (5) $0   0   I   By KPCB XII Founders FUnd, LLC   (4)
Series C Preferred Stock     (1) 9/30/2010     C         14517   (1)     (1)   (1) Common Stock   14517   (1) $0   0   I   By Clarus, LLC   (2)
Series C Preferred Stock     (1) 9/30/2010     C         375705   (1)     (1)   (1) Common Stock   375705   (1) $0   0   I   By Kleiner Perkins Caufield & Byers XII, LLC   (3)
Series C Preferred Stock     (1) 9/30/2010     C         4784   (1)     (1)   (1) Common Stock   4784   (1) $0   0   I   By KPCB XII Founders Fund, LLC   (4)

Explanation of Responses:
( 1)  Upon the closing of the Issuer's initial public offering, each outstanding share of Series A Preferred Stock and Series C Preferred Stock automatically converted into one share of the Issuer's Common Stock. The Series A Preferred Stock and Series C Preferred Stock have no expiration date.
( 2)  The Reporting Person is the manager of Clarus, LLC. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein. The shares are held for convenience in the name of "KPCB Holdings, Inc., as nominee" for the account of entities affiliated with Kleiner Perkins Caufield & Byers and others. KPCB Holdings, Inc. has no voting, dispositive or pecuniary interest in any such shares.
( 3)  The General Partner of Kleiner Perkins Caufield & Byers XII, LLC is KPCB XII Associates, LLC, of which the reporting person is a managing member. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein. The shares are held for convenience in the name of "KPCB Holdings, Inc., as nominee" for the account of entities affiliated with Kleiner Perkins Caufield & Byers and others. KPCB Holdings, Inc. has no voting, dispositive or pecuniary interest in any such shares.
( 4)  The General Partner of KPCB XII Founders Fund, LLC is KPCB XII Associates, LLC, of which the reporting person is a managing member. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein. The shares are held for convenience in the name of "KPCB Holdings, Inc., as nominee" for the account of entities affiliated with Kleiner Perkins Caufield & Byers and others. KPCB Holdings, Inc. has no voting, dispositive or pecuniary interest in any such shares.
( 5)  Upon completion of the Issuer's initial public offering, each outstanding share of Series B Preferred Stock automatically converted into 1.118 shares of the Issuer's Common Stock. The Series B Preferred Stock has no expiration date.

Reporting Owners
Reporting Owner Name / Address
Relationships
Director 10% Owner Officer Other
DOERR L JOHN
C/O KLEINER PERKINS CAUFIELD & BYERS
2750 SAND HILL ROAD
MENLO PARK, CA 94025
X



Signatures
/s/ L. John Doerr by Tamara Tompkins, Attorney-in-Fact 9/30/2010
** 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 4(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).
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