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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES 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(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction 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 (Month/Day/Year) |
7. Title and Amount of Underlying Securities (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) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Stock Option (Right to Buy) | $ 3.93 | 05/20/2011 | M(1) | 3,599 | (6)(7) | 02/26/2018 | Common Stock | 3,599 | $ 0 | 152,094 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
HILLEMAN JERYL L C/O AMYRIS, INC. 5885 HOLLIS ST., SUITE 100 EMERYVILLE, CA 94608 |
Chief Financial Officer |
/s/ Jeryl Hilleman by Nicholas Khadder, Attorney-in-Fact | 05/23/2011 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | This transaction was effected pursuant to a 10b5-1 plan adopted by the reporting person on December 15, 2010 and an assumption agreement effective as of March 25, 2011 to which the reporting person and the Hilleman/Albright Family Trust dated July 24, 1990 are parties. |
(2) | To the Hilleman/Albright Family Trust dated July 24, 1990. |
(3) | Represents the aggregate of sales effected on the same day at different prices pursuant to the plan in footnote (1). |
(4) | Represents the weighted average sales price per share. The shares sold at prices ranging from $28.00 to $28.02 per share. Full information regarding the number of shares sold at each price shall be provided upon request to the staff of the U.S. Securities and Exchange Commission, the Issuer, or a security holder of the Issuer. |
(5) | Ms. Hilleman is a Trustee of the Hilleman/Albright Family Trust dated July 24, 1990. |
(6) | Immediately exercisable. |
(7) | The stock option vested as to 1/5th of the total number of shares subject to the option on January 28, 2009, and thereafter vested and shall vest as to 1/60th of the total number of shares subject to the option in equal monthly installments. |