SEC Form 4
FORM 4 | UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
| 2. Issuer Name and Ticker or Trading Symbol Google Inc. [ GOOG ] | 5. Relationship of Reporting Person(s) to Issuer (Check all applicable)
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3. Date of Earliest Transaction (Month/Day/Year) 06/15/2015 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed (Month/Day/Year) | 6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction 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 | ||||||
Class A Google Stock Unit(1) | 05/26/2015 | J(2) | V | 14 | D | $0 | 28 | D | ||
Class A Common Stock | 05/26/2015 | J(2) | V | 14 | A | $0 | 3,065 | D | ||
Class C Google Stock Unit | 05/26/2015 | J(2) | V | 14 | D | $0 | 28 | D | ||
Class C Capital Stock(3) | 05/26/2015 | J(2) | V | 14 | A | $0 | 3,220 | D | ||
Class A Google Stock Unit(4) | 05/26/2015 | J(2) | V | 12 | D | $0 | 164 | D | ||
Class A Common Stock | 05/26/2015 | J(2) | V | 12 | A | $0 | 3,077 | D | ||
Class C Google Stock Unit(4) | 05/26/2015 | J(2) | V | 12 | D | $0 | 164 | D | ||
Class C Capital Stock(3) | 05/26/2015 | J(2) | V | 12 | A | $0 | 3,232 | D | ||
Class A Google Stock Unit(5) | 05/26/2015 | J(2) | V | 9 | D | $0 | 207 | D | ||
Class A Common Stock | 05/26/2015 | J(2) | V | 9 | A | $0 | 3,086 | D | ||
Class C Google Stock Unit(6) | 05/26/2015 | J(2) | V | 9 | D | $0 | 207 | D | ||
Class C Capital Stock | 05/26/2015 | J(2) | V | 9 | A | $0 | 3,241 | D | ||
Class C Google Stock Unit(7) | 05/26/2015 | J(2) | V | 13 | D | $0 | 483 | D | ||
Class C Capital Stock | 05/26/2015 | J(2) | V | 13 | A | $0 | 3,254 | D | ||
Class C Capital Stock | 06/15/2015 | S | 1,368 | D | $524.7462(8) | 1,016,874 | I | Vallejo Ventures Trust | ||
Class C Capital Stock | 06/15/2015 | S | 1,683 | D | $525.9023(9) | 1,015,191 | I | Vallejo Ventures Trust | ||
Class C Capital Stock | 06/15/2015 | S | 1,712 | D | $526.5102(10) | 1,013,479 | I | Vallejo Ventures Trust | ||
Class C Capital Stock | 06/15/2015 | S | 1,573 | D | $527.6109(11) | 1,011,906 | I | Vallejo Ventures Trust | ||
Class A Common Stock | 118,653 | I | The Benificus Foundation | |||||||
Class A Common Stock | 18,656 | I | L. John Doerr Ttee The Austin 1999 Trust dtd 5/25/99 | |||||||
Class A Common Stock | 18,656 | I | L. John Doerr Ttee The Hampton 1999 Trust dtd 5/25/99 | |||||||
Class C Capital Stock | 109,615 | I | The Benificus Foundation | |||||||
Class C Capital Stock | 18,707 | I | The Hampton 1999 Trust | |||||||
Class C Capital Stock | 18,707 | I | The Austin 1999 Trust |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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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 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: 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 | ||||||||
Class B Common Stock | $0 | (12) | (13) | Class A Common Stock | 1,117,447 | 1,117,447 | I | Vallejo Ventures Trust |
Explanation of Responses: |
1. The GSUs vest as follows: 1/48th of GSUs shall vest on the 25th day of the first month after the vesting start date and an additional 1/48th will vest monthly thereafter, subject to continued service on such vesting dates. Vesting start date is July 6, 2011. |
2. Vesting of GSUs grant of which was previously reported in Form 4. |
3. This stock was received by the Reporting Person pursuant to a stock dividend declared by Google Inc. on January 29, 2014. As a result of the dividend, all holders of record of Class A Common Stock and Class B Common Stock on March 27, 2014 received on April 2, 2014 one share of Class C Capital Stock for each share of Class A Common Stock outstanding and one share of Class C Capital Stock for each share of Class B Common Stock outstanding. |
4. 1/48th of GSUs vested on July 25, 2012 and an additional 1/48th will vest monthly on the 25th day of each month thereafter, subject to continued service on such dates. |
5. 1/48th of the grant will vest on July 25, 2013 and an additional 1/48th will vest monthly on the 25th day of the month thereafter, subject to continued employment on such vesting dates. |
6. 1/48th of the grant will vest on July 25, 2013 and an additional 1/48th will vest monthly on the 25th day of each month thereafter, subject to continued service on the Board on the applicable vesting dates. |
7. 1/48th of the grant will vest on June 25, 2014 and an additional 1/48th will vest on the 25th day of each month thereafter, subject to continued service on the Board on the applicable vesting dates. |
8. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $524.20 to $525.19, inclusive. The Reporting Person undertakes to provide to any security holder of Google Inc. or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in footnotes (8) through (11) to this Form 4. |
9. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $525.27 to $526.26. |
10. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $526.29 to $527.28. |
11. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $527.40 to $528.39. |
12. There is no exercisable date for the Issuer's Class B Common Stock. |
13. There is no expiration date for the Issuer's Class B Common Stock. |
Remarks: |
All transactions reported in this Form 4 were effected pursuant to a Rule 10b5-1 Trading Plan adopted by the Reporting Person. |
/s/ Valentina Margulis, as attorney-in-fact for L. John Doerr | 06/15/2015 | |
** 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). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
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 Number. |