0001209191-19-004815.txt : 20190122
0001209191-19-004815.hdr.sgml : 20190122
20190122175732
ACCESSION NUMBER: 0001209191-19-004815
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190116
FILED AS OF DATE: 20190122
DATE AS OF CHANGE: 20190122
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Powell Colin
CENTRAL INDEX KEY: 0001603044
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38598
FILM NUMBER: 19536171
MAIL ADDRESS:
STREET 1: THE LANDMARK @ ONE MARKET STREET
STREET 2: SUITE 300
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94105
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Bloom Energy Corp
CENTRAL INDEX KEY: 0001664703
STANDARD INDUSTRIAL CLASSIFICATION: ELECTRICAL INDUSTRIAL APPARATUS [3620]
IRS NUMBER: 770565408
STATE OF INCORPORATION: DE
BUSINESS ADDRESS:
STREET 1: 1299 ORLEANS DRIVE
CITY: SUNNYVALE
STATE: CA
ZIP: 94089
BUSINESS PHONE: 408-543-1500
MAIL ADDRESS:
STREET 1: 1299 ORLEANS DRIVE
CITY: SUNNYVALE
STATE: CA
ZIP: 94089
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2019-01-16
0
0001664703
Bloom Energy Corp
BE
0001603044
Powell Colin
4353 NORTH FIRST STREET
SAN JOSE
CA
95134
1
0
0
0
Class B Common Stock
2019-01-16
5
G
0
E
25155
0.00
D
Class A Common Stock
25155
11523
I
The 2016 CLP 4-Year GRAT u/a dtd 10/16/2016
Class B Common Stock
2019-01-16
5
G
0
E
25155
0.00
A
Class A Common Stock
25155
53305
D
Class B Common Stock
2019-01-16
5
G
0
E
6838
0.00
D
Class A Common Stock
6838
0
I
The CLP 6-YEAR GRAT u/a dtd 9/28/2012
Class B Common Stock
2019-01-16
5
G
0
E
6838
0.00
A
Class A Common Stock
6838
60143
D
All the outstanding shares of our Class B common stock will convert automatically into shares of our Class A common stock upon the occurrence of certain events. In addition, Class B common stock may be converted into shares of Class A common stock at any time at the election of the holder. Following such conversion, each share of Class A common stock will have one vote per share and the rights of the holders of all outstanding common stock will be identical.
Colin Powell, Trustee of The 2016 CLP 4-Year GRAT u/a dtd 10/16/2016. By virtue of the relationship Mr. Powell has with the Trust, Mr. Powell is deemed to have voting and dispositive power of these shares.
Colin Powell, Trustee of The CLP 6-Year GRAT u/a dtd 9/28/2012. By virtue of the relationship Mr. Powell has with the Trust, Mr. Powell is deemed to have voting and dispositive power of these shares.
/s/Shawn Soderberg, attorney-in-fact
2019-01-22