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