0001387131-17-000015.txt : 20170103
0001387131-17-000015.hdr.sgml : 20170103
20170103163935
ACCESSION NUMBER: 0001387131-17-000015
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161230
FILED AS OF DATE: 20170103
DATE AS OF CHANGE: 20170103
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: SHOHAM JOSHUA
CENTRAL INDEX KEY: 0001552205
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-55127
FILM NUMBER: 17502284
MAIL ADDRESS:
STREET 1: 35 ASUTA ST
CITY: EVEN-YEHUDA
STATE: L3
ZIP: 40500
4
1
shoham-form4_123016.xml
OWNERSHIP DOCUMENT
X0306
4
2016-12-30
0
0001419582
BLUE SPHERE CORP.
BLSP
0001552205
SHOHAM JOSHUA
301 MCCULLOUGH DRIVE, 4TH FLOOR
CHARLOTTE
NC
28262
1
0
0
1
Chairman of the Board
Common Stock, par value $0.001 per share
2016-12-30
4
A
0
1750000
A
5584001
D
Stock Award
2016-12-30
4
D
0
1750000
A
Common Stock, par value $0.001 per share
1750000
291667
D
The 1,750,000 shares of Common Stock acquired by the reporting person represent 1,750,000 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 3,500,000 shares of Common Stock and vests in quarterly installments. As of the date of this report, 3,208,333 of such shares have been issued and 291,667 of such shares have not vested and have not been issued. The 291,667 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 3,500,000 shares of Common Stock and vests in quarterly installments. As of the date of this report, 3,208,333 of such shares have been issued and 291,667 of such shares have not vested and have not been issued.
/s/ Joshua Shoham
2016-12-30