0001387131-18-001374.txt : 20180402 0001387131-18-001374.hdr.sgml : 20180402 20180402190540 ACCESSION NUMBER: 0001387131-18-001374 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180220 FILED AS OF DATE: 20180402 DATE AS OF CHANGE: 20180402 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: 18730841 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_022018.xml OWNERSHIP DOCUMENT X0306 4 2018-02-20 0 0001419582 BLUE SPHERE CORP. BLSP 0001528561 AMITZUR ELROY 301 MCCULLOUGH DRIVE 4TH FLOOR CHARLOTTE NC 28262 0 1 0 0 Executive Vice President Common Stock, par value $0.001 per share 2018-03-23 4 A 0 22000 0 A 75695 I By Renewable Energy Management Services Option 1.80 2018-02-20 4 A 0 19000 0 A 2018-02-20 2023-02-20 Common Stock, par value $0.001 per share 19000 19000 I By Renewable Energy Management Services The 22,000 shares of the Issuer's common stock were issued pursuant to a Stock Award Agreement, made in connection with a grant under the Issuer's 2016 Stock Incentive Plan by the Compensation Committee of the Issuer's Board of Directors on February 20, 2018, for services rendered to the Issuer. The 19,000 options to purchase shares of the Issuer's common stock were issued pursuant to a Stock Option Agreement, made in connection with a grant under the Issuer's 2016 Stock Incentive Plan by the Compensation Committee of the Issuer's Board of Directors on February 20, 2018, for services rendered to the Issuer. The securities in Table I and Table II 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 2018-04-02