Amended Statement of Ownership (sc 13g/a)
February 16 2016 - 1:20PM
Edgar (US Regulatory)
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
Schedule 13G
(Rule 13d-102)
INFORMATION TO BE INCLUDED IN STATEMENTS
FILED PURSUANT TO RULES 13d-1 (b), (c) AND (d) AND AMENDMENTS THERETO FILED PURSUANT TO 13d-2 (b)
(Amendment No. 2)*
Glori Energy Inc.
(Name of
Issuer)
Common Stock
(Title of
Class of Securities)
379606106
(CUSIP Number)
December 31, 2015
(Date of
Event Which Requires Filing of this Statement)
Check the appropriate box to designate the rule pursuant to
which this Schedule is filed:
*The remainder of this cover page shall be filled out for a
reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment
containing information which would alter disclosures provided in a prior cover page.
The information required on the remainder of this cover page
shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”)
or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however,
see the Notes).
(Continued on following pages)
Page 1
of 8
Exhibit Index on Page 7
CUSIP #379606106 |
Page 2 of 8 |
1 |
NAME OF REPORTING PERSONS Kleiner Perkins Caufield & Byers XII, LLC (“KPCB XII”) |
2 |
CHECK
THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a) ¨ (b) x |
3 |
SEC USE ONLY |
4 |
CITIZENSHIP OR PLACE OF ORGANIZATION
Delaware |
NUMBER OF
SHARES
BENEFICIALLY
OWNED BY EACH
REPORTING
PERSON
WITH |
5 |
SOLE VOTING POWER
1,474,236 shares, except that KPCB XII Associates, LLC (“Associates”), the managing member of KPCB XII, may be deemed to have sole power to vote these shares. |
|
6 |
SHARED VOTING POWER
See response to row 5. |
|
7 |
SOLE DISPOSITIVE POWER
1,474,236 shares, except that Associates, the managing member of KPCB XII, may be deemed to have sole power to dispose of these shares. |
|
8 |
SHARED DISPOSITIVE POWER
See response to row 7. |
9 |
AGGREGATE
AMOUNT BENEFICIALLY OWNED BY EACH REPORTING
PERSON 1,474,236 |
10 |
CHECK
BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN
SHARES ¨ |
11 |
PERCENT OF CLASS REPRESENTED BY AMOUNT
IN ROW 9 4.6% |
12 |
TYPE OF REPORTING PERSON OO |
CUSIP #379606106 |
Page 3 of 8 |
1 |
NAME OF REPORTING PERSONS KPCB XII Founders Fund, LLC (“KPCB XII Founders”) |
2 |
CHECK
THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a) ¨ (b) x |
3 |
SEC USE ONLY |
4 |
CITIZENSHIP OR PLACE OF ORGANIZATION
Delaware |
NUMBER OF
SHARES
BENEFICIALLY
OWNED BY EACH
REPORTING
PERSON
WITH |
5 |
SOLE VOTING POWER
20,290 shares, except that Associates, the managing member of KPCB XII Founders, may be deemed to have sole power to vote these shares. |
|
6 |
SHARED VOTING POWER
See response to row 5. |
|
7 |
SOLE DISPOSITIVE POWER
20,290 shares, except that Associates, the managing member of KPCB XII Founders, may be deemed to have sole power to dispose of these shares. |
|
8 |
SHARED DISPOSITIVE POWER
See response to row 7. |
9 |
AGGREGATE
AMOUNT BENEFICIALLY OWNED BY EACH REPORTING
PERSON 20,290 |
10 |
CHECK
BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN
SHARES ¨ |
11 |
PERCENT OF CLASS REPRESENTED BY AMOUNT
IN ROW 9 0.1% |
12 |
TYPE OF REPORTING PERSON OO |
CUSIP #379606106 |
Page 4 of 8 |
1 |
NAME OF REPORTING PERSONS KPCB XII Associates, LLC |
2 |
CHECK
THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a) ¨ (b) x |
3 |
SEC USE ONLY |
4 |
CITIZENSHIP OR PLACE OF ORGANIZATION
Delaware |
NUMBER OF
SHARES
BENEFICIALLY
OWNED BY EACH
REPORTING
PERSON
WITH |
5 |
SOLE VOTING POWER
1,494,526 shares, of which 1,474,236 are directly owned by KPCB XII and 20,290 are directly owned by KPCB XII Founders. Associates, the managing member of KPCB XII and KPCB XII Founders, may be deemed to have sole power to vote these shares. |
|
6 |
SHARED VOTING POWER
See response to row 5. |
|
7 |
SOLE DISPOSITIVE POWER
1,494,526 shares, of which 1,474,236 are directly owned by KPCB XII and 20,290 are directly owned by KPCB XII Founders. Associates, the managing member of KPCB XII and KPCB XII Founders, may be deemed to have sole power to dispose of these shares. |
|
8 |
SHARED DISPOSITIVE POWER
See response to row 7. |
9 |
AGGREGATE
AMOUNT BENEFICIALLY OWNED BY EACH REPORTING
PERSON 1,494,526 |
10 |
CHECK
BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN
SHARES ¨ |
11 |
PERCENT OF CLASS REPRESENTED BY AMOUNT
IN ROW 9 4.7% |
12 |
TYPE
OF REPORTING PERSON OO |
CUSIP #379606106 |
Page 5 of 8 |
This Amendment No. 2 amends the Statement on Schedule 13G previously
filed by Kleiner Perkins Caufield & Byers XII, LLC, a Delaware limited liability company, KPCB XII Founders Fund, LLC, a Delaware
limited liability company, and KPCB XII Associates, LLC, a Delaware limited liability company. The foregoing entities are collectively
referred to as the “Reporting Persons.” Only those items as to which there has been a change are included in this Amendment
No. 2.
The following information with respect
to the ownership of the ordinary shares of the Issuer by the persons filing this Statement is provided as of December 31, 2015:
| (a) | Amount beneficially owned: |
See Row 9 of cover page for each
Reporting Person.
See Row 11 of cover page for each
Reporting Person.
| (c) | Number of shares as to which such person has: |
| (i) | Sole power to vote or to direct the vote: |
See Row 5 of cover page for each
Reporting Person.
| (ii) | Shared power to vote or to direct the vote: |
See Row 6 of cover page for each
Reporting Person.
| (iii) | Sole power to dispose or to direct the disposition of: |
See Row 7 of cover page for each
Reporting Person.
| (iv) | Shared power to dispose or to direct the disposition of: |
See Row 8 of cover page for each
Reporting Person.
| ITEM 5. | OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS |
If this statement is being filed
to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent
of the class of securities, check the following: x
Yes
CUSIP #379606106 |
Page 6 of 8 |
SIGNATURES
After reasonable inquiry and to the best of
my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.
Date: February 12, 2016
|
KLEINER PERKINS CAUFIELD & BYERS XII, LLC, a
Delaware limited liability company |
|
|
|
KPCB XII ASSOCIATES, LLC, a Delaware limited
liability company, its managing member |
|
|
|
|
By: |
/s/ Paul Vronsky |
|
|
Paul Vronsky |
|
|
General Counsel |
|
|
|
|
KPCB XII FOUNDERS FUND, LLC, a Delaware limited
liability company |
|
|
|
KPCB XII ASSOCIATES, LLC, a Delaware limited
liability company, its managing member |
|
|
|
|
By: |
/s/ Paul Vronsky |
|
|
Paul Vronsky |
|
|
General Counsel |
|
|
|
|
KPCB XII ASSOCIATES, LLC, a Delaware limited liability company |
|
|
|
|
By: |
/s/ Paul Vronsky |
|
|
Paul Vronsky |
|
|
General Counsel |
CUSIP #379606106 |
Page 7 of 8 |
EXHIBIT INDEX
|
|
Found on
Sequentially |
Exhibit |
|
Numbered Page |
|
|
|
Exhibit A: Agreement of Joint Filing |
|
8 |
CUSIP #379606106 |
Page 8 of 8 |
exhibit A
Agreement of Joint Filing
The Reporting Persons
hereby agree that a single Schedule 13G (or any amendment thereto) relating to the Common Stock of the Issuer shall be filed on
behalf of each of the Reporting Persons. Note that copies of the applicable Agreement of Joint Filing are already on file with
the appropriate agencies.
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