0001387131-16-008768.txt : 20161230 0001387131-16-008768.hdr.sgml : 20161230 20161230150627 ACCESSION NUMBER: 0001387131-16-008768 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161230 FILED AS OF DATE: 20161230 DATE AS OF CHANGE: 20161230 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: PALAS SHLOMO CENTRAL INDEX KEY: 0001487472 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-55127 FILM NUMBER: 162077492 MAIL ADDRESS: STREET 1: 17 ETROG STREET CITY: ROSH HAYYN STATE: L3 ZIP: 48570 4 1 palas-form4_123016.xml OWNERSHIP DOCUMENT X0306 4 2016-12-30 0 0001419582 BLUE SPHERE CORP. BLSP 0001487472 PALAS SHLOMO 301 MCCULLOUGH DRIVE, 4TH FLOOR CHARLOTTE NC 28262 1 1 0 0 CEO and President Common Stock, par value $0.001 per share 2016-12-30 4 A 0 1800000 A 6115491 D Stock Award 2016-12-30 4 D 0 1800000 A Common Stock, par value $0.001 per share 1800000 300000 D The 1,800,000 shares of Common Stock acquired by the reporting person represent 1,800,000 shares awarded pursuant to a stock award under the Issuer's Global Share and Options Incentive Enhancement Plan (2014) (the "2014 Incentive Plan") which vested during 2016. The stock award under the 2014 Incentive Plan was granted on February 24, 2015 for 3,600,000 shares of Common Stock and vests in quarterly installments. As of the date of this report, 3,300,000 of such shares have been issued and 300,000 of such shares have not vested and have not been issued. The 300,000 shares that have not yet vested and not been issued are not included in the number of securities beneficially owned in Table I, Column 5 of this report. The stock award under the 2014 Incentive Plan was granted on February 24, 2015 for 3,600,000 shares of Common Stock and vests in quarterly installments. As of the date of this report, 3,300,000 of such shares have been issued and 300,000 of such shares have not vested and have not been issued. /s/ Shlomi Palas 2016-12-30