0001387131-17-000017.txt : 20170103
0001387131-17-000017.hdr.sgml : 20170103
20170103164925
ACCESSION NUMBER: 0001387131-17-000017
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: Brosh Yigal
CENTRAL INDEX KEY: 0001682080
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-55127
FILM NUMBER: 17502402
MAIL ADDRESS:
STREET 1: 7 HAIM BEN EFRAIM
CITY: RISHON LEZION
STATE: L3
ZIP: 75514
4
1
brosh-form4_123016.xml
OWNERSHIP DOCUMENT
X0306
4
2016-12-30
0
0001419582
BLUE SPHERE CORP.
BLSP
0001682080
Brosh Yigal
301 MCCULLOUGH DRIVE, 4TH FLOOR
CHARLOTTE
NC
28262
1
0
0
1
Member of the Board
Common Stock, par value $0.001 per share
2016-12-30
4
A
0
175000
A
420833
D
Common Stock, par value $0.001 per share
2016-12-30
4
A
0
300000
A
720833
D
Stock Award
2016-12-30
4
D
0
175000
A
Common Stock, par value $0.001 per share
175000
29167
D
The 175,000 shares of Common Stock acquired by the reporting person represent 175,000 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 350,000 shares of Common Stock and vests in quarterly installments. As of the date of this report, 320,833 of such shares have been issued and 29,167 of such shares have not vested and have not been issued. The 29,167 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 300,000 shares of Common Stock acquired by the reporting person represent 300,000 shares granted as a special award to the reporting person by the Issuer's board of directors on December 30, 2016.
The stock award under the 2014 Incentive Plan was granted on February 24, 2015 for 350,000 shares of Common Stock and vests in quarterly installments. As of the date of this report, 320,833 of such shares have been issued and 29,167 of such shares have not vested and have not been issued.
/s/ Yigal Brosh
2016-12-30