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