FORM 4
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT 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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OMB APPROVAL
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(Print or Type Responses)
1. Name and Address of Reporting Person *
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SC US (TTGP), LTD. |
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2. Issuer Name and Ticker or Trading Symbol Guardant Health, Inc. [GH]
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5. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director
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__X__ 10% Owner
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_____ Officer (give title below)
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_____ Other (specify below)
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2800 SAND HILL ROAD, SUITE 101 |
3. Date of Earliest Transaction (Month/Day/Year) 10/09/2018 |
MENLO PARK, CA 94025 |
4. If Amendment, Date Original Filed
(Month/Day/Year)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
___ Form filed by One Reporting Person
_X_ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3)
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2. Transaction Date (Month/Day/Year)
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2A. Deemed Execution Date, if any (Month/Day/Year)
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3. Transaction Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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COMMON STOCK | 10/09/2018 |
| C |
| 13,264 | A | (1) | 13,264 | I | By Sandscape, LLC (2) |
COMMON STOCK | 10/09/2018 |
| C |
| 5,564,701 | A | (1) | 5,564,701 | I | By Sequoia Capital USV XIV Holdco, Ltd. (3) |
COMMON STOCK | 10/09/2018 |
| C |
| 1,402,994 | A | (1) | 1,402,994 | I | By Sequoia Capital USV XIV Holdco, Ltd. (3) |
COMMON STOCK | 10/09/2018 |
| C |
| 233,832 | A | (1) | 233,832 | I | By Sequoia Capital USV XIV Holdco, Ltd. (3) |
COMMON STOCK | 10/09/2018 |
| C |
| 508,497 | A | (1) | 508,497 | I | By Sequoia Capital USV XIV Holdco, Ltd. (3) |
COMMON STOCK | 10/09/2018 |
| C |
| 44,866 | A | (1) | 44,866 | I | By Sequoia Capital USV XIV Holdco, Ltd. (3) |
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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) |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Transaction Date (Month/Day/Year)
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3A. Deemed Execution Date, if any (Month/Day/Year)
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4. Transaction Code (Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5)
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6. Date Exercisable and Expiration Date (Month/Day/Year)
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7. Title and Amount of Underlying Securities (Instr. 3 and 4)
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8. Price of Derivative Security (Instr. 5)
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9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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SERIES A PREFERRED STOCK | (1) | 10/09/2018 |
| C |
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| 13,264 |
(1) |
(1) | COMMON STOCK | 13,264.00 | (1) |
0
| I | By Sandscape, LLC (2) |
SERIES A PREFERRED STOCK | (1) | 10/09/2018 |
| C |
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| 5,564,701 |
(1) |
(1) | COMMON STOCK | 5,564,701.00 | (1) |
0
| I | By Sequoia Capital USV XIV Holdco, Ltd. (3) |
SERIES B PREFERRED STOCK | (1) | 10/09/2018 |
| C |
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| 1,402,994 |
(1) |
(1) | COMMON STOCK | 1,402,994.00 | (1) |
0
| I | By Sequoia Capital USV XIV Holdco, Ltd. (3) |
SERIES C PREFERRED STOCK | (1) | 10/09/2018 |
| C |
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| 233,832 |
(1) |
(1) | COMMON STOCK | 233,832.00 | (1) |
0
| I | By Sequoia Capital USV XIV Holdco, Ltd. (3) |
SERIES D PREFERRED STOCK | (1) | 10/09/2018 |
| C |
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| 508,497 |
(1) |
(1) | COMMON STOCK | 508,497.00 | (1) |
0
| I | By Sequoia Capital USV XIV Holdco, Ltd. (3) |
SERIES E PREFERRED STOCK | (1) | 10/09/2018 |
| C |
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| 44,866 |
(1) |
(1) | COMMON STOCK | 44,866.00 | (1) |
0
| I | By Sequoia Capital USV XIV Holdco, Ltd. (3) |
Reporting Owners
Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
SC US (TTGP), LTD. 2800 SAND HILL ROAD SUITE 101 MENLO PARK, CA 94025 |
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X
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SC U.S. VENTURE 2010 MANAGEMENT, L.P. 2800 SAND HILL ROAD SUITE 101 MENLO PARK, CA 94025 |
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X
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SEQUOIA CAPITAL U.S. VENTURE 2010-SEED FUND, L.P. 2800 SAND HILL ROAD SUITE 101 MENLO PARK, CA 94025 |
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X
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SEQUOIA CAPITAL SCOUT FUND II, L.L.C. 2800 SAND HILL ROAD SUITE 101 MENLO PARK, CA 94025 |
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X
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Sandscape, LLC 2800 SAND HILL ROAD SUITE 101 MENLO PARK, CA 94025 |
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X
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SC U.S. VENTURE XIV MANAGEMENT, L.P. 2800 SAND HILL ROAD SUITE 101 MENLO PARK, CA 94025 |
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X
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SEQUOIA CAPITAL U.S. VENTURE FUND XIV, L.P. 2800 SAND HILL ROAD SUITE 101 MENLO PARK, CA 94025 |
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X
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SEQUOIA CAPITAL U.S. VENTURE PARTNERS FUND XIV, L.P. 2800 SAND HILL ROAD SUITE 101 MENLO PARK, CA 94025 |
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X
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SEQUOIA CAPITAL U.S. VENTURE PARTNERS FUND XIV (Q), L.P. 2800 SAND HILL ROAD SUITE 101 MENLO PARK, CA 94025 |
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X
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SEQUOIA CAPITAL USV XIV HOLDCO, LTD. 2800 SAND HILL ROAD SUITE 101 MENLO PARK, CA 94025 |
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X
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Signatures
/s/ Jung Yeon Son, by power of attorney for Roelof F. Botha, a Director of SC US (TTGP), Ltd. | |
10/11/2018 |
**Signature of Reporting Person | Date |
/s/ Jung Yeon Son, by power of attorney for Roelof F. Botha, a Director of SC US (TTGP), Ltd., the general partner of SC US Venture 2010 Management, L.P. | |
10/11/2018 |
**Signature of Reporting Person | Date |
/s/ Jung Yeon Son, by power of attorney for Roelof F. Botha, a Director of SC US (TTGP), Ltd., the general partner of SC US Venture 2010 Management, L.P., the general partner of Sequoia Capital U.S. Venture 2010-Seed Fund, L.P. | |
10/11/2018 |
**Signature of Reporting Person | Date |
* See remarks | |
10/11/2018 |
**Signature of Reporting Person | Date |
** See remarks | |
10/11/2018 |
**Signature of Reporting Person | Date |
*** See remarks | |
10/11/2018 |
**Signature of Reporting Person | Date |
**** See remarks | |
10/11/2018 |
**Signature of Reporting Person | Date |
***** See remarks | |
10/11/2018 |
**Signature of Reporting Person | Date |
****** See remarks | |
10/11/2018 |
**Signature of Reporting Person | Date |
******* See remarks | |
10/11/2018 |
**Signature of Reporting Person | Date |
Explanation of Responses:
* | 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) | The shares of Preferred Stock automatically converted into shares of the Issuer's Common Stock, for no additional consideration, at the then-effective conversion rate for no additional consideration (subject to the payment of cash in lieu of any fractional shares in accordance with the Certificate of Incorporation) immediately prior to the consummation of the Issuer's initial public offering, and have no expiration date. |
(2) | The shares are directly held by Sandscape, LLC. SC US (TTGP), Ltd. is the general partner of SC US Venture 2010 Management, L.P., which is the general partner of Sequoia Capital U.S. Venture 2010-Seed Fund, L.P., which is the managing member of Sequoia Capital Scout Fund II, L.L.C., which is the managing member of Sandscape, LLC. As a result, SC US (TTGP), Ltd. may be deemed to share voting and dispositive power with respect to the shares held by Sandscape, LLC. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes. |
(3) | The shares are directly held by Sequoia Capital USV XIV Holdco, Ltd., or SC USV XIV Holdco. SC US (TTGP), Ltd. is the general partner of SC U.S. Venture XIV Management, L.P., which is the general partner of each of Sequoia Capital U.S. Venture Fund XIV, L.P., Sequoia Capital U.S. Venture Partners Fund XIV, L.P. and Sequoia Capital U.S. Venture Partners Fund XIV (Q), L.P., or collectively, the SC USV XIV Funds. The SC USV XIV Funds together own 100% of the outstanding ordinary shares of SC USV XIV Holdco. As a result, SC US (TTGP), Ltd. may be deemed to share voting and dispositive power with respect to the shares held by SC USV XIV Holdco. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes. |
Remarks: Exhibit 24.1 Power of Attorney for Roelof F. Botha */s/ Jung Yeon Son, by power of attorney for Roelof F. Botha, a Director of SC US (TTGP), Ltd., the general partner of SC US Venture 2010 Management, L.P., the general partner of Sequoia Capital U.S. Venture 2010-Seed Fund, L.P., the managing member of Sequoia Capital Scout Fund II, L.L.C. ** /s/ Jung Yeon Son, by power of attorney for Roelof F. Botha, a Director of SC US (TTGP), Ltd., the general partner of SC US Venture 2010 Management, L.P., the general partner of Sequoia Capital U.S. Venture 2010-Seed Fund, L.P., the managing member of Sequoia Capital Scout Fund II, L.L.C., the managing member of Sandscape, LLC *** /s/ Jung Yeon Son, by power of attorney for Roelof F. Botha, a Director of SC US (TTGP), Ltd., the general partner of SC U.S. Venture XIV Management, L.P. **** /s/ Jung Yeon Son, by power of attorney for Roelof F. Botha, a Director of SC US (TTGP), Ltd., the general partner of SC U.S. Venture XIV Management, L.P., the general partner of Sequoia Capital U.S. Venture Fund XIV, L.P. *****/s/ Jung Yeon Son, by power of attorney for Roelof F. Botha, a Director of SC US (TTGP), Ltd., the general partner of SC U.S. Venture XIV Management, L.P., the general partner of Sequoia Capital U.S. Venture Partners Fund XIV, L.P. ****** /s/ Jung Yeon Son, by power of attorney for Roelof F. Botha, a Director of SC US (TTGP), Ltd., the general partner of SC U.S. Venture XIV Management, L.P., the general partner of Sequoia Capital U.S. Venture Partners Fund XIV (Q), L.P. *******/s/ Jung Yeon Son, by power of attorney for Roelof F. Botha, a Director of SC US (TTGP), Ltd., the general partner of SC U.S. Venture XIV Management, L.P., the general partner of each of Sequoia Capital U.S. Venture Fund XIV, L.P., Sequoia Capital U.S. Venture Partners Fund XIV, L.P. and Sequoia Capital U.S. Venture Partners Fund XIV (Q), L.P., the 100% owners of Sequoia Capital USV XIV Holdco, Ltd. |
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.
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