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