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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN 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 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
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. | SEC 1474 (9-02) |
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 Underlying Securities (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 of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Class B Common Stock | $ 0 | 08/25/2015 | C | 16,666 | (23) | (24) | Class A Common Stock | 16,666 | $ 0 | 21,242,646 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Brin Sergey C/O GOOGLE INC. 1600 AMPHITHEATRE PARKWAY MOUNTAIN VIEW, CA 94043 |
X | X | Co-Founder |
/s/ Valentina Margulis, as attorney-in-fact for Sergey Brin | 08/27/2015 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | Each share of Class A Common Stock was issued upon the conversion of one share of Class B Common Stock at the election of Reporting Person. |
(2) | The price reported in Column 4 is a weighted average price. The shares were sold in multiple transactions at prices ranging from $584.71 $to $585.70, inclusive. The reporting person undertakes to provide to any security holder of Google Inc. or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in footnotes (2) through (22) to this Form 4. |
(3) | The shares were sold in multiple transactions at prices ranging from $589.49 to $590.48, inclusive. |
(4) | The shares were sold in multiple transactions at prices ranging from $590.66 to $591.65, inclusive. |
(5) | The shares were sold in multiple transactions at prices ranging from $590.66 to $591.65, inclusive. |
(6) | The shares were sold in multiple transactions at prices ranging from $593.20 to $594.19, inclusive. |
(7) | The shares were sold in multiple transactions at prices ranging from $593.20 to $594.19, inclusive. |
(8) | The shares were sold in multiple transactions at prices ranging from $597.50 to $598.49, inclusive. |
(9) | The shares were sold in multiple transactions at prices ranging from $597.50 to $598.49, inclusive. |
(10) | The shares were sold in multiple transactions at prices ranging from $602.01 to $603.00, inclusive. |
(11) | The shares were sold in multiple transactions at prices ranging from $603.31 to $604.30, inclusive. |
(12) | The shares were sold in multiple transactions at prices ranging from $604.53 to $605.52, inclusive. |
(13) | The shares were sold in multiple transactions at prices ranging from $605.71 to $606.70, inclusive. |
(14) | The shares were sold in multiple transactions at prices ranging from $604.53 to $605.52, inclusive. |
(15) | The shares were sold in multiple transactions at prices ranging from $607.74 to $608.73, inclusive. |
(16) | The shares were sold in multiple transactions at prices ranging from $608.88 to $609.87, inclusive. |
(17) | The shares were sold in multiple transactions at prices ranging from $609.90 to $610.89, inclusive. |
(18) | The shares were sold in multiple transactions at prices ranging from $611.49 to $612.48, inclusive. |
(19) | The shares were sold in multiple transactions at prices ranging from $612.75 to $613.74, inclusive. |
(20) | The shares were sold in multiple transactions at prices ranging from $613.78 to $614.77, inclusive. |
(21) | The shares were sold in multiple transactions at prices ranging from $615.05 to $616.04, inclusive. |
(22) | The shares were sold in multiple transactions at prices ranging from $616.15 to $617.14, inclusive. |
(23) | All shares are exercisable as of the transaction date. |
(24) | There is no expiration date for the Issuer's Class B Common Stock. |
Remarks: Form 4 Filing 1 of 2 (continuation report): Related transactions effected by the Reporting Person on August 25, 2015 are reported on additional Forms 4. All transactions reported in this Form 4 were effected pursuant to a Rule 10b5-1 Trading Plan adopted by the Reporting Person. |