0001387131-16-005851.txt : 20160617 0001387131-16-005851.hdr.sgml : 20160617 20160617112623 ACCESSION NUMBER: 0001387131-16-005851 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130430 FILED AS OF DATE: 20160617 DATE AS OF CHANGE: 20160617 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BLUE SPHERE CORP. CENTRAL INDEX KEY: 0001419582 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING, DATA PROCESSING, ETC. [7370] IRS NUMBER: 980550257 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 301 MCCULLOUGH DRIVE STREET 2: 4TH FLOOR CITY: CHARLOTTE STATE: NC ZIP: 28262 BUSINESS PHONE: 704-909-2806 MAIL ADDRESS: STREET 1: 301 MCCULLOUGH DRIVE STREET 2: 4TH FLOOR CITY: CHARLOTTE STATE: NC ZIP: 28262 FORMER COMPANY: FORMER CONFORMED NAME: Blue Sphere Corp DATE OF NAME CHANGE: 20100219 FORMER COMPANY: FORMER CONFORMED NAME: Jin Jie Corp. DATE OF NAME CHANGE: 20071128 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: AMITZUR ELROY CENTRAL INDEX KEY: 0001528561 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-55127 FILM NUMBER: 161719322 MAIL ADDRESS: STREET 1: KASTIELSICA #2 CITY: BRATISLAVA STATE: 2B ZIP: 82105 4 1 amitzur-form4_043013.xml OWNERSHIP DOCUMENT X0306 4 2013-04-30 0 0001419582 BLUE SPHERE CORP. BLSP 0001528561 AMITZUR ELROY 301 MCCULLOUGH DRIVE 4TH FLOOR CHARLOTTE NC 28262 0 1 0 0 Executive Vice President Common Stock, par value $0.001 per share 2016-06-13 4 A 0 1542405 A 3238514 I By JLS Advanced Investment Holdings Ltd. Stock Award 2015-02-24 4 A 0 2041667 A Common Stock, par value $0.001 per share 2041667 2041667 I By JLS Advanced Investment Holdings Ltd. Incentive Stock Options (Right to Buy) 0.5763 2013-04-30 4 A 0 168142 A 2018-04-30 Common Stock, par value $0.001 per share 168142 168142 I By JLS Advanced Investment Holdings Ltd. The 1,542,405 shares of Common Stock acquired by the reporting person represent (a) 84,072 shares awarded pursuant to a one-time grant under the issuer's Global Share Incentive Plan (2010) (the "2010 Incentive Plan") and (b) 1,458,333 shares awarded pursuant to a stock award under the issuer's Global Share and Options Incentive Enhancement Plan (2014) (the "2014 Incentive Plan"). The stock award under the 2014 Incentive Plan was granted on February 24, 2015 for 3,500,000 shares of Common Stock and vests in quarterly installments. As of the date of this report, 1,458,333 of such shares have vested and been issued and 2,041,667 of such shares remain to be vested and/or issued. The 2,041,667 shares that have not yet vested and/or been issued are not included in the number of securities beneficially owned in Table I, Column 5 of this report. The securities in Table I, Column 5 and Table II, Column 11 of this report are owned by JLS Advanced Investment Holdings Ltd. Mr. Amitzur's family owns and controls JLS Advanced Investment Holdings Ltd., and therefore Mr. Amitzur is deemed to have indirect beneficial ownership of such securities. The stock award under the 2014 Incentive Plan was granted on February 24, 2015 for 3,500,000 shares of Common Stock and vests in quarterly installments. As of the date of this report, 1,458,333 of such shares have been issued and 2,041,667 shares have not been issued (of which, 437,500 shares have vested and 1,604,167 shares are unvested). The stock options were awarded under the 2010 Incentive Plan on April 30, 2013. As of the date of this report, the stock options are exercisable. /s/ Elroy Amitzur 2016-06-17