SEC Form 3
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
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Total Raffinage Chimie

(Last) (First) (Middle)
2 PLACE JEAN MILLIER
LA DEFENSE 6

(Street)
COURBEVOIE I0 92400

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
04/20/2017
3. Issuer Name and Ticker or Trading Symbol
AMYRIS, INC. [ AMRS ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
Officer (give title below) X Other (specify below)
Director by Deputization
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
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 64,178,185 D(1)
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: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
1.5% Senior Convertible Note (2) (2) Common Stock $3,700,000(2) $3.08(2) D(1)
6.5% Convertible Senior Notes Due 2019 (3) (3) Common Stock $9,705,000(3) $3.74(3) D(1)
Tranche I Senior Convertible Note (4) (4) Common Stock $9,252,184.41(4) $2.44(4) D(1)
Tranche II Senior Convertible Note (5) (5) Common Stock $6,042,064.77(5) $2.87(5) D(1)
Warrants (right to buy) (6) 07/29/2020 Common Stock 2,000,000(6) $0.01 D(1)
Warrants (right to buy) (6) 07/29/2020 Common Stock 128,205(6) $0.01 D(1)
Explanation of Responses:
1. The securities reported herein were acquired by the Reporting Person from Total Energies Nouvelles Activities USA, an affiliated entity of the Reporting Person, in connection with a reorganization of the Reporting Person and affiliated entities, and may not be considered a purchase of securities under Section 16(b). The parent of the Reporting Person, Total S.A., continues to beneficially own the securities reported herein.
2. The principal amount of this note is $3,700,000, and the initial conversion price is $3.08 per share, subject to adjustment as set forth therein. This note is convertible only in those circumstances described in the note. The Final Maturity Date as defined in the note is March 1, 2017.
3. The principal amount of the 6.5% Notes is $9,705,000 and the initial conversion rate is initially 267.0370 shares of Common Stock per $1,000 principal amount of Notes, subject to adjustment as set forth therein. The 6.5% Notes are convertible only in those circumstances described in the 6.5% Notes. The Final Maturity Date as defined in the 6.5% Notes is May 15, 2019.
4. The principal amount of the Tranche I Note is $9,252,184.41. The Tranche Note is convertible only in those circumstances described in the Tranche Note. The Final Maturity Date as defined in the Tranche Note is October 16, 2018.
5. The principal amount of the Tranche II Note is $6,042,064.77. The Tranche Note is convertible only in those circumstances described in the Tranche Note. The Final Maturity Date as defined in the Tranche Note is January 15, 2019.
6. This warrant is exercisable upon satisfaction of the Exercise Condition as described in the warrant.
/s/ Celine Legras 04/24/2017
** 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 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).
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