0001387131-17-005154.txt : 20171024 0001387131-17-005154.hdr.sgml : 20171024 20171024164330 ACCESSION NUMBER: 0001387131-17-005154 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171024 FILED AS OF DATE: 20171024 DATE AS OF CHANGE: 20171024 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: 171151353 MAIL ADDRESS: STREET 1: KASTIELSICA #2 CITY: BRATISLAVA STATE: 2B ZIP: 82105 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 4 1 amitzur-form4_102417.xml OWNERSHIP DOCUMENT X0306 4 2017-10-24 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 2017-10-24 4 A 0 6539 A 53695 I By Renewable Energy Management Services The 6,539 shares vested on October 15, 2017, the anniversary of the Service Agreement between Blue Sphere Corporation, Mr. Amitzur, JLS Advanced Investment Holdings Limited and Renewable Energy Management Services dated October 15, 2015, as amended, and were issued in accordance therewith. The securities in Table I, Column 4 and 5 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. /s/ Elroy Amitzur 2017-10-24