0001664703-21-000062.txt : 20210514
0001664703-21-000062.hdr.sgml : 20210514
20210514181612
ACCESSION NUMBER: 0001664703-21-000062
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210512
FILED AS OF DATE: 20210514
DATE AS OF CHANGE: 20210514
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BUSH MARY K
CENTRAL INDEX KEY: 0001041956
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38598
FILM NUMBER: 21926639
MAIL ADDRESS:
STREET 1: 3509 WOODBINE STREET
CITY: CHEVY CHASE
STATE: MD
ZIP: 20815
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Bloom Energy Corp
CENTRAL INDEX KEY: 0001664703
STANDARD INDUSTRIAL CLASSIFICATION: ELECTRICAL INDUSTRIAL APPARATUS [3620]
IRS NUMBER: 770565408
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 4353 NORTH FIRST STREET
CITY: SAN JOSE
STATE: CA
ZIP: 95134
BUSINESS PHONE: 408-543-1500
MAIL ADDRESS:
STREET 1: 4353 NORTH FIRST STREET
CITY: SAN JOSE
STATE: CA
ZIP: 95134
4
1
wf-form4_162103055412815.xml
FORM 4
X0306
4
2021-05-12
0
0001664703
Bloom Energy Corp
BE
0001041956
BUSH MARY K
4353 NORTH FIRST STREET
SAN JOSE
CA
95134
1
0
0
0
Class A Common Stock
2021-05-12
4
A
0
10357
0
A
113104
D
Restricted stock units ("RSUs") granted under the Bloom Energy Corporation 2018 Equity Incentive Plan. The RSUs will vest on the date of the next annual stockholder meeting, subject to her continued service through the vesting date.
Shawn M. Soderberg, as attorney-in-fact
2021-05-14