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 AMYRIS, INC. [ AMRS ] | 5. Relationship of Reporting Person(s) to Issuer (Check all applicable)
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| 3. Date of Earliest Transaction (Month/Day/Year) 05/05/2017 | ||||||||||||||||||||||||||
| 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 | ||||||
| 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 | ||||||||
| 6.50% Convertible Senior Notes due 2019 (the "Notes") | $3.74(1) | 05/05/2017 | J(1) | $10,000,000(1) | (1) | (1) | Common Stock | $10,000,000 | $0.00(1) | 0 | D(2) | ||||
1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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| Explanation of Responses: |
| 1. On May 5, 2017, Maxwell (Mauritius) Pte Ltd ("Maxwell"), the holder of the Notes, entered into a letter agreement with Amyris, Inc. ("Amyris") whereby Amyris agreed to pay in cash any portion of the Notes that remains outstanding on the maturity date, and Maxwell waived its right to convert the Notes into shares of Amyris common stock. Under the terms of the Notes, based on the initial conversion rate, the Notes were convertible into 2,670,370 shares of Amyris common stock. The termination of convertibility of the Notes could be deemed a "disposition" of a derivative security and/or the underlying common stock for purposes of Section 16 under the Securities Exchange Act of 1934, and the rules thereunder, and is reported herein solely for that reason. |
| 2. Maxwell directly owns the Notes. Maxwell is wholly-owned by Cairnhill Investments (Mauritius) Pte Ltd., which in turn is wholly-owned by Fullerton Management Pte Ltd, which in turn is wholly-owned by Temasek Holdings (Private) Limited. Therefore, each of Temasek Holdings (Private) Limited, Fullerton Management Pte Ltd and Cairnhill Investments (Mauritius) Pte Ltd. may be deemed to beneficially own the shares of derivative securities directly owned by Maxwell. |
| Remarks: |
| MAXWELL (MAURITIUS) PTE LTD By: /s/ Rooksana Shahabally, in her capacity as Director of Maxwell (Mauritius) Pte Ltd | 05/09/2017 | |
| CAIRNHILL INVESTMENTS (MAURITIUS) PTE LTD By: /s/ Rooksana Shahabally, in her capacity as Director of Cairnhill Investments (Mauritius) Pte Ltd | 05/09/2017 | |
| FULLERTON MANAGEMENT PTE LTD By: /s/ Cheong Kok Tim, in his capacity as Director of Fullerton Management Pte Ltd | 05/09/2017 | |
| TEMASEK HOLDINGS (PRIVATE) LIMITED By: /s/ Christina Choo, in her capacity as Authorized Signatory of Temasek Holdings (Private) Limited | 05/09/2017 | |
| ** 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. | ||