0001209191-19-043566.txt : 20190729
0001209191-19-043566.hdr.sgml : 20190729
20190729181854
ACCESSION NUMBER: 0001209191-19-043566
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190725
FILED AS OF DATE: 20190729
DATE AS OF CHANGE: 20190729
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: 19982707
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: 4353 NORTH FIRST STREET
CITY: SAN JOSE
STATE: CA
ZIP: 95134
BUSINESS PHONE: 408-543-1500
MAIL ADDRESS:
STREET 1: 4353 NORTH FIRST STREET
CITY: SAN JOSE
STATE: CA
ZIP: 95134
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2019-07-25
0
0001664703
Bloom Energy Corp
BE
0001603044
Powell Colin
4353 NORTH FIRST STREET
SAN JOSE
CA
95134
1
0
0
0
Class A Common Stock
2019-07-25
5
G
0
E
333333
0.00
D
424301
I
By Trust
Class A Common Stock
2019-07-25
4
C
0
25825
0.00
A
450126
I
By Trust
Class A Common Stock
11523
I
By Trust
Class A Common Stock
12734
D
Restricted Stock Units (RSU)(Class B Common Stock)
2019-07-25
4
M
0
25825
0.00
D
2028-07-24
Class B Common Stock
25825
51650
D
Class B Common Stock
0.00
2019-07-25
4
C
0
25825
0.00
D
Class A Common Stock
25825
0
I
By trust
Transfer of shares to reporting person's revocable trust.
Held by The Colin L. Powell Revocable Trust U/A DTD 01/26/2006, of which the reporting person is a trustee.
All of the outstanding shares of Class B Common Stock will convert automatically into shares of 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.
Held by The 2016 CLP 4-Year GRAT U/A DTD 10/16/2016 Colin Powell Trustee
Each RSU represents a contingent right to receive 1 share of the Issuer's Class B Common Stock upon settlement.
The RSUs vest over two years at six-month intervals from the vesting commencement date.
Shawn Soderberg as attorney in fact for reporting person
2019-07-28