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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 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 |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
HSIEH Wen Hsuan C/O DESKTOP METAL, INC. 63 3RD AVE. BURLINGTON, MA 01803 |
X |
By: /s/ Meg Broderick, Attorney-in-Fact | 12/11/2020 | |
**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) | Pursuant to the business combination of Trine Acquisition Corp. and Desktop Metal, Inc. ("Old Desktop"), each share of Old Desktop outstanding common and preferred stock were automatically converted into the right to receive shares of the Issuer's Class A Common Stock based on a 1-to-1.221218442 conversion ratio. |
(2) | All shares are held for convenience in the name of "KPCB Holdings, Inc., as nominee" for the accounts of such entities. Consists of 17,134,580 shares held by Kleiner Perkins Caufield & Byers XVI, LLC ("KPCB XVI"), 586,570 shares held by KPCB XVI Founders Fund, LLC ("XVI Founders"), 131,219 shares held by Kleiner Perkins Caufield & Byers XVII, LLC ("KPCB XVII"), and 4,296 shares held by KPCB XVII Founders Fund, LLC ("XVII Founders"). The managing member of KPCB XVI and XVI Founders is KPCB XVI Associates, LLC ("KPCB XVI Associates"). The Reporting Person is a managing member of KPCB XVI Associates, together with Beth Seidenberg, L. John Doerr, Randy Komisar and Theodore E. Schlein, and exercises shared voting and dispositive control over the shares held by KPCB XVI and XVI Founders. |
(3) | The managing member of KPCB XVII and XVII Founders is KPCB XVII Associates, LLC ("KPCB XVII Associates"). The Reporting Person is a managing member of KPCB XVII Associates, together with Beth Seidenberg, Ilya Fushman, Mamoon Hamid and Theodore E. Schlein, and exercises shared voting and dispositive control over the shares held by KPCB XVII and XVII Founders. The Reporting Person disclaims beneficial ownership of all shares held by KPCB XVI, XVI Founders, KPCB XVII and XVII Founders except to the extent of his pecuniary interest therein. |