0001387131-17-001853.txt : 20170403
0001387131-17-001853.hdr.sgml : 20170403
20170403163305
ACCESSION NUMBER: 0001387131-17-001853
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170331
FILED AS OF DATE: 20170403
DATE AS OF CHANGE: 20170403
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: 17734668
MAIL ADDRESS:
STREET 1: KASTIELSICA #2
CITY: BRATISLAVA
STATE: 2B
ZIP: 82105
4
1
amitzur-form4_033117.xml
OWNERSHIP DOCUMENT
X0306
4
2017-03-31
0
0001419582
BLUE SPHERE CORP.
BLSP
0001528561
AMITZUR ELROY
301 MCCULLOUGH DR.
4TH FLOOR
CHARLOTTE
NC
28262
0
1
0
0
Executive Vice President
Common Stock, par value $0.001 per share
2017-03-31
4
A
0
2244
A
47156
I
By Renewable Energy Management Services
These shares of the Company's common stock were awarded pursuant to the Company's Global Share and Options Incentive Enhancement Plan, and vested on March 31, 2017.
As disclosed on the Company's Current Report on Form 8-K filed on March 24, 2017, the Company effectuated a 1-for-130 reverse stock split (the "Split") on the Company's common stock. The Amount of Securities Beneficially Owned Following Reported Transaction in column 5 reflects the number of shares owned after taking into account the Split and the issuance of common stock.
The securities acquired in Table I, Column 4 and reported in Table II, Column 9 of this report are beneficially owned by Renewable Energy Management Services, a wholly owned subsidiary of RR Water Projects Ltd., which is owned and controlled by Mr. Amitzur and his wife. Therefore, Mr. Amitzur is deemed to have indirect beneficial ownership of such securities. Securities previously reported as beneficially owned by JLS under Table II, Column 9 of this report were issued to Renewable Energy Management Services.
/s/ Elroy Amitzur
2017-04-02