Edgar Filing: AMYRIS, INC.

Ownership Submission

FORM 3

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF 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

OMB APPROVAL

OMB Number:

3235-0104

Expires:

January 31, 2005

Estimated average burden hours per response...

0.5

(Print or Type Responses)

1. Name and Address of Reporting Person ^*

Â KPCB XII Associates, LLC

2. Date of Event Requiring Statement (Month/Day/Year)
09/27/2010

3. Issuer Name and Ticker or Trading Symbol
AMYRIS, INC. [AMRS]

(Last)

(First)

(Middle)

C/O KLEINER PERKINS CAUFIELD & BYERS,Â 2750 SAND HILL ROAD

4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

_____ Director	__X__ 10% Owner
_____ Officer (give title below)	_____ Other (specify below)

5. If Amendment, Date Original Filed(Month/Day/Year)

(Street)

MENLO PARK,Â CAÂ 94025

6. Individual or Joint/Group Filing(Check Applicable Line)
_X_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person

(City)

(State)

(Zip)

Table I - Non-Derivative Securities Beneficially Owned

1.Title of Security (Instr. 4)	2. Amount of Securities Beneficially Owned (Instr. 4)	3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock	129,953	I ⁽¹⁾	See footnote ⁽¹⁾
Common Stock	1,655	I ⁽²⁾	See footnote ⁽²⁾

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.			SEC 1473 (7-02)
	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.

Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)

1. Title of Derivative Security (Instr. 4)	2. Date Exercisable and Expiration Date (Month/Day/Year)		3. Title and Amount of Securities Underlying Derivative Security (Instr. 4)		4. Conversion or Exercise Price of Derivative Security	5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
1. Title of Derivative Security (Instr. 4)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares	4. Conversion or Exercise Price of Derivative Security		6. Nature of Indirect Beneficial Ownership (Instr. 5)
Series A Preferred Stock	Â ⁽³⁾	Â ⁽³⁾	Common Stock	3,068,996 ⁽¹⁾	$ 0	I ⁽¹⁾	See footnote ⁽¹⁾
Series A Preferred Stock	Â ⁽³⁾	Â ⁽³⁾	Common Stock	58,648 ⁽²⁾	$ 0	I ⁽²⁾	See footnote ⁽²⁾
Series B Preferred Stock	Â ⁽⁴⁾	Â ⁽⁴⁾	Common Stock	134,082 ⁽¹⁾	$ 0	I ⁽¹⁾	See footnote ⁽¹⁾
Series B Preferred Stock	Â ⁽⁴⁾	Â ⁽⁴⁾	Common Stock	2,563 ⁽²⁾	$ 0	I ⁽²⁾	See footnote ⁽²⁾
Series C Preferred Stock	Â ⁽³⁾	Â ⁽³⁾	Common Stock	375,705 ⁽¹⁾	$ 0	I ⁽¹⁾	See footnote ⁽¹⁾
Series C Preferred Stock	Â ⁽³⁾	Â ⁽³⁾	Common Stock	4,784 ⁽²⁾	$ 0	I ⁽²⁾	See footnote ⁽²⁾

Reporting Owners

Reporting Owner Name / Address	Relationships
Reporting Owner Name / Address	Director	10% Owner	Officer	Other
KPCB XII Associates, LLC C/O KLEINER PERKINS CAUFIELD & BYERS 2750 SAND HILL ROAD MENLO PARK,Â CAÂ 94025	Â	Â X	Â	Â

Signatures

/s/ Brook Byers, Manager of the Reporting Person		09/27/2010
^**Signature of Reporting Person		Date

Explanation of Responses:

*	If the form is filed by more than one reporting person, see Instruction 5(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)	Shares are held directly by Kleiner Perkins Caufield & Byers XII, LLC of which the Reporting Person is the Managing Member. The Reporting Person disclaims beneficial ownership of these securities except to the extent of its 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.
(2)	Shares are held directly by KPCB XII Founders Fund, LLC of which the Reporting Person is the Managing Member. The Reporting Person disclaims beneficial ownership of these securities except to the extent of its 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)	Upon completion of the Issuer's initial public offering, each outstanding share of Series A Preferred Stock and Series C Preferred Stock will be 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.
(4)	Upon completion of the Issuer's initial public offering, each outstanding share of Series B Preferred Stockwill be automatically converted into 1.118 shares of the Issuer's Common Stock. The number of shares of underlying Common Stock reported in Column 3 does not reflect this automatic conversion. The Series B Preferred Stock has no expiration date.

Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, See Instruction 6 for procedure.

Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB number.