# EDGAR Filing Document

**Accession Number:** 0001749713
**File Stem:** 0000899243-23-008443
**Filing Date:** 2023-3
**Character Count:** 13478
**Document Hash:** d8c827c09f6898d7c699a391ae09601c
**Contains OCR:** False
**Source Format:** 

## Filing Content

## Filing Summary
**0000899243-23-008443.hdr.sgml**: 20230314

**ACCESSION NUMBER**: 0000899243-23-008443

**CONFORMED SUBMISSION TYPE**: 4

**PUBLIC DOCUMENT COUNT**: 1

**CONFORMED PERIOD OF REPORT**: 20230310

**FILED AS OF DATE**: 20230314

**DATE AS OF CHANGE**: 20230314

**REPORTING-OWNER**: 

**OWNER DATA:**
- **COMPANY CONFORMED NAME:** DOERR L JOHN
- **CENTRAL INDEX KEY:** 0001032455
- **STATE OF INCORPORATION:** CA
- **FISCAL YEAR END:** 1231

**FILING VALUES:**
- **FORM TYPE:** 4
- **SEC ACT:** 1934 Act
- **SEC FILE NUMBER:** 001-34885
- **FILM NUMBER:** 23732050

**MAIL ADDRESS:**
- **STREET 1:** C/O KLEINER PERKINS CAUFIELD & BYERS
- **STREET 2:** 2750 SAND HILL ROAD
- **CITY:** MENLO PARK
- **STATE:** CA
- **ZIP:** 94025
**REPORTING-OWNER**: 

**OWNER DATA:**
- **COMPANY CONFORMED NAME:** Foris Ventures, LLC
- **CENTRAL INDEX KEY:** 0001749713
- **STATE OF INCORPORATION:** DE
- **FISCAL YEAR END:** 1231

**FILING VALUES:**
- **FORM TYPE:** 4
- **SEC ACT:** 1934 Act
- **SEC FILE NUMBER:** 001-34885
- **FILM NUMBER:** 23732049

**BUSINESS ADDRESS:**
- **STREET 1:** 751 LAUREL STREET, #717
- **CITY:** SAN CARLOS
- **STATE:** CA
- **ZIP:** 94070
- **BUSINESS PHONE:** 650-384-0240

**MAIL ADDRESS:**
- **STREET 1:** 751 LAUREL STREET, #717
- **CITY:** SAN CARLOS
- **STATE:** CA
- **ZIP:** 94070
**REPORTING-OWNER**: 

**OWNER DATA:**
- **COMPANY CONFORMED NAME:** Doerr Ann Howland
- **CENTRAL INDEX KEY:** 0001750962

**FILING VALUES:**
- **FORM TYPE:** 4
- **SEC ACT:** 1934 Act
- **SEC FILE NUMBER:** 001-34885
- **FILM NUMBER:** 23732048

**MAIL ADDRESS:**
- **STREET 1:** 751 LAUREL STREET, #717
- **CITY:** SAN CARLOS
- **STATE:** CA
- **ZIP:** 94070
**REPORTING-OWNER**: 

**OWNER DATA:**
- **COMPANY CONFORMED NAME:** Hager Barbara
- **CENTRAL INDEX KEY:** 0001750733

**FILING VALUES:**
- **FORM TYPE:** 4
- **SEC ACT:** 1934 Act
- **SEC FILE NUMBER:** 001-34885
- **FILM NUMBER:** 23732047

**MAIL ADDRESS:**
- **STREET 1:** 751 LAUREL STREET, #717
- **CITY:** SAN CARLOS
- **STATE:** CA
- **ZIP:** 94070
**REPORTING-OWNER**: 

**OWNER DATA:**
- **COMPANY CONFORMED NAME:** Vallejo Ventures Trust UTA 21296
- **CENTRAL INDEX KEY:** 0001750751
- **FISCAL YEAR END:** 1231

**FILING VALUES:**
- **FORM TYPE:** 4
- **SEC ACT:** 1934 Act
- **SEC FILE NUMBER:** 001-34885
- **FILM NUMBER:** 23732046

**BUSINESS ADDRESS:**
- **STREET 1:** 751 LAUREL STREET, #717
- **CITY:** SAN CARLOS
- **STATE:** CA
- **ZIP:** 94070
- **BUSINESS PHONE:** 6503840240

**MAIL ADDRESS:**
- **STREET 1:** 751 LAUREL STREET, #717
- **CITY:** SAN CARLOS
- **STATE:** CA
- **ZIP:** 94070
**ISSUER**: 

**COMPANY DATA:**
- **COMPANY CONFORMED NAME:** AMYRIS, INC.
- **CENTRAL INDEX KEY:** 0001365916
- **STANDARD INDUSTRIAL CLASSIFICATION:** INDUSTRIAL ORGANIC CHEMICALS [2860]
- **IRS NUMBER:** 550856151
- **STATE OF INCORPORATION:** DE
- **FISCAL YEAR END:** 1231

**BUSINESS ADDRESS:**
- **STREET 1:** 5885 HOLLIS STREET, SUITE 100
- **CITY:** EMERYVILLE
- **STATE:** CA
- **ZIP:** 94608
- **BUSINESS PHONE:** 510-450-0761

**MAIL ADDRESS:**
- **STREET 1:** 5885 HOLLIS STREET, SUITE 100
- **CITY:** EMERYVILLE
- **STATE:** CA
- **ZIP:** 94608

**FORMER COMPANY:**
- **FORMER CONFORMED NAME:** AMYRIS BIOTECHNOLOGIES INC
- **DATE OF NAME CHANGE:** 20060613

### UNITED STATES SECURITIES AND EXCHANGE COMMISSION
**Washington, D.C. 20549**

## FORM 4

### STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

[ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

[ ] Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.

---

| | | |
|:---|:---|:---|
| **1. Name and Address of Reporting Person**<sup>*</sup><br>DOERR L JOHN<br><sub>(Last) (First) (Middle)</sub><br>C/O AMYRIS, INC.<br>5885 HOLLIS STREET, SUITE 100<br><sub>(Street)</sub><br>EMERYVILLE, CA 94608<br><sub>(City) (State) (Zip)</sub> | **3. Date of Earliest Transaction (Month/Day/Year)**<br>2023-03-10 | **5. Relationship of Reporting Person(s) to Issuer**<br>(Check all applicable)<br>[X] Director [X] 10% Owner<br>[ ] Officer (give title below) [ ] Other (specify below)<br>_ _ |
| **2. Issuer Name and Ticker or Trading Symbol**<br>AMYRIS, INC. [ AMRS ] | **4. If Amendment, Date of Original Filed (Month/Day/Year)**<br>  | **6. Individual or Joint/Group Filing (Check Applicable Line)**<br>[ ] Form filed by One Reporting Person<br>[X] Form filed by More than One Reporting Person |

---

---

| | | |
|:---|:---|:---|
| **1. Name and Address of Reporting Person**<sup>*</sup><br>Foris Ventures, LLC<br><sub>(Last) (First) (Middle)</sub><br>1180 SAN CARLOS AVENUE, #717<br><sub>(Street)</sub><br>SAN CARLOS, CA 94070<br><sub>(City) (State) (Zip)</sub> | **3. Date of Earliest Transaction (Month/Day/Year)**<br>2023-03-10 | **5. Relationship of Reporting Person(s) to Issuer**<br>(Check all applicable)<br>[ ] Director [X] 10% Owner<br>[ ] Officer (give title below) [ ] Other (specify below)<br>_ _ |
| **2. Issuer Name and Ticker or Trading Symbol**<br>AMYRIS, INC. [ AMRS ] | **4. If Amendment, Date of Original Filed (Month/Day/Year)**<br>  | **6. Individual or Joint/Group Filing (Check Applicable Line)**<br>[ ] Form filed by One Reporting Person<br>[X] Form filed by More than One Reporting Person |

---

---

| | | |
|:---|:---|:---|
| **1. Name and Address of Reporting Person**<sup>*</sup><br>Doerr Ann Howland<br><sub>(Last) (First) (Middle)</sub><br>1180 SAN CARLOS AVENUE, #717<br><sub>(Street)</sub><br>SAN CARLOS, CA 94070<br><sub>(City) (State) (Zip)</sub> | **3. Date of Earliest Transaction (Month/Day/Year)**<br>2023-03-10 | **5. Relationship of Reporting Person(s) to Issuer**<br>(Check all applicable)<br>[ ] Director [X] 10% Owner<br>[ ] Officer (give title below) [ ] Other (specify below)<br>_ _ |
| **2. Issuer Name and Ticker or Trading Symbol**<br>AMYRIS, INC. [ AMRS ] | **4. If Amendment, Date of Original Filed (Month/Day/Year)**<br>  | **6. Individual or Joint/Group Filing (Check Applicable Line)**<br>[ ] Form filed by One Reporting Person<br>[X] Form filed by More than One Reporting Person |

---

---

| | | |
|:---|:---|:---|
| **1. Name and Address of Reporting Person**<sup>*</sup><br>Hager Barbara<br><sub>(Last) (First) (Middle)</sub><br>1180 SAN CARLOS AVENUE, #717<br><sub>(Street)</sub><br>SAN CARLOS, CA 94070<br><sub>(City) (State) (Zip)</sub> | **3. Date of Earliest Transaction (Month/Day/Year)**<br>2023-03-10 | **5. Relationship of Reporting Person(s) to Issuer**<br>(Check all applicable)<br>[ ] Director [X] 10% Owner<br>[ ] Officer (give title below) [ ] Other (specify below)<br>_ _ |
| **2. Issuer Name and Ticker or Trading Symbol**<br>AMYRIS, INC. [ AMRS ] | **4. If Amendment, Date of Original Filed (Month/Day/Year)**<br>  | **6. Individual or Joint/Group Filing (Check Applicable Line)**<br>[ ] Form filed by One Reporting Person<br>[X] Form filed by More than One Reporting Person |

---

---

| | | |
|:---|:---|:---|
| **1. Name and Address of Reporting Person**<sup>*</sup><br>Vallejo Ventures Trust UTA 21296<br><sub>(Last) (First) (Middle)</sub><br>1180 SAN CARLOS AVENUE, #717<br><sub>(Street)</sub><br>SAN CARLOS, CA 94070<br><sub>(City) (State) (Zip)</sub> | **3. Date of Earliest Transaction (Month/Day/Year)**<br>2023-03-10 | **5. Relationship of Reporting Person(s) to Issuer**<br>(Check all applicable)<br>[ ] Director [X] 10% Owner<br>[ ] Officer (give title below) [ ] Other (specify below)<br>_ _ |
| **2. Issuer Name and Ticker or Trading Symbol**<br>AMYRIS, INC. [ AMRS ] | **4. If Amendment, Date of Original Filed (Month/Day/Year)**<br>  | **6. Individual or Joint/Group Filing (Check Applicable Line)**<br>[ ] Form filed by One Reporting Person<br>[X] Form filed by More than One Reporting Person |

---

## Table I - Non-Derivative Securities

---

|  |  |  |  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| 1. Title of Security | 2. Transaction Date | 2A. Deemed Execution Date | 3. Transaction Code (V) | 3. Transaction Code (V) | 4. Securities Acquired (A) or Disposed of (D) | 4. Securities Acquired (A) or Disposed of (D) | 4. Securities Acquired (A) or Disposed of (D) | 5. Amount of Securities Beneficially Owned | 6. Ownership Form | 7. Nature of Indirect Beneficial Ownership |
| 1. Title of Security | 2. Transaction Date | 2A. Deemed Execution Date | Code | V | Amount | (A) or (D) | Price | 5. Amount of Securities Beneficially Owned | 6. Ownership Form | 7. Nature of Indirect Beneficial Ownership |
|  |  |  |  |  |  |  |  |  |  |  |

---

## Table II - Derivative Securities

---

|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| 1. Title of Derivative Security | 2. Conversion or Exercise Price | 3. Transaction Date | 3A. Deemed Execution Date | 4. Transaction Code (V) | 4. Transaction Code (V) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) | 6. Date Exercisable and Expiration Date | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Underlying Securities | 7. Title and Amount of Underlying Securities | 8. Price of Derivative Security | 9. Number of Derivative Securities Beneficially Owned | 10. Ownership Form | 11. Nature of Indirect Beneficial Ownership |
| 1. Title of Derivative Security | 2. Conversion or Exercise Price | 3. Transaction Date | 3A. Deemed Execution Date | Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | 8. Price of Derivative Security | 9. Number of Derivative Securities Beneficially Owned | 10. Ownership Form | 11. Nature of Indirect Beneficial Ownership |
| Warrant (Right to Buy)<sup>(1)</sup> | 1.30<sup>(1)</sup> | 2023-03-10 |  | A<sup>(1)</sup> |  | 2046036 |  | 2022-09-13 | 2025-09-13 | Common Stock | 2046036 | $0.00 | 2046036 | I | By Foris Ventures, LLC<sup>(2)(3)</sup> |
| Warrant (Right to Buy)<sup>(1)</sup> | 3.91<sup>(1)</sup> | 2023-03-10 |  | D<sup>(1)</sup> |  |  | 2046036 | 2022-09-13 | 2025-09-13 | Common Stock | 2046036 | $0.00 | 0 | I | By Foris Ventures, LLC<sup>(2)(3)</sup> |

---

### Footnotes:

(1) This warrant was originally issued in connection with the entry into that certain Loan and Security Agreement dated September 13, 2022 among the Issuer, certain subsidiaries of the Issuer and Foris Ventures, LLC ("FV") to purchase up to 2,046,036 shares of the Issuer's common stock at an exercise price of $3.91 per share. On March 10, 2023, in connection with the entry into that certain Loan and Security Agreement, dated as of March 10, 2023, by and among the Issuer, certain subsidiaries of the Issuer and Perrara Ventures, LLC (an affiliate of FV), FV and the Issuer amended the exercise price of the warrant from $3.91 per share to $1.30 per share. Other than the change to the exercise price, the terms of the warrant, including the number of shares underlying the warrant, are unchanged.

(2) L. John Doerr ("John Doerr") indirectly holds all of the membership interests in FV. John Doerr disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein.

(3) Barbara Hager, the manager of FV, may be deemed to have sole power to vote and dispose of the shares held by FV. The Vallejo Ventures Trust U/T/A 2/12/96 ("VVT"), the member of FV, may be deemed to have sole power to vote and dispose of these securities and John Doerr and Ann Doerr, the trustees of VVT, and Barbara Hager, the special trustee of VVT, may be deemed to have shared power to vote and dispose of the reported securities. Each of John Doerr, Ann Doerr and Barbara Hager disclaims beneficial ownership of the reported securities except to the extent of their pecuniary interest therein. FV and VVT are represented on the Issuer's board of directors by John Doerr and Ryan Panchadsaram. Accordingly, each of the Reporting Persons is deemed to be a director by deputization. The Reporting Persons are jointly filing this Form 4 pursuant to Rule 16a-3(j) under the Exchange Act.

**Signature:** /s/ L. John Doerr, by Barbara Hager as his attorney in fact  
**Date:** 2023-03-14

**Signature:** /s/ Ann Howland Doerr, by Barbara Hager as her attorney in fact  
**Date:** 2023-03-14

**Signature:** /s/ Vallejo Ventures Trust UTA 21296, by Barbara Hager as Special Trustee  
**Date:** 2023-03-14

**Signature:** /s/ Foris Ventures, LLC, by Barbara Hager as manager  
**Date:** 2023-03-14

**Signature:** /s/ Barbara Hager  
**Date:** 2023-03-14

### Remarks:

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.**