0000899243-19-001801.txt : 20190123 0000899243-19-001801.hdr.sgml : 20190123 20190123203856 ACCESSION NUMBER: 0000899243-19-001801 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180724 FILED AS OF DATE: 20190123 DATE AS OF CHANGE: 20190123 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MOBIUS VI LLC CENTRAL INDEX KEY: 0001116442 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38598 FILM NUMBER: 19538481 BUSINESS ADDRESS: STREET 1: 200 WEST EVELYN AVE STREET 2: STE 200 CITY: MOUNTAIN VIEW STATE: CA ZIP: 94043 BUSINESS PHONE: 6509622000 MAIL ADDRESS: STREET 1: A/O MOBIUS VENTURO CAPITAL 2 PALO ALTO STREET 2: STE 500 3000 EL CAMINO ROAD CITY: PALO ALTO STATE: CA ZIP: 94306 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MOBIUS TECHNOLOGY VENTURES ADVISORS FUND VI L P CENTRAL INDEX KEY: 0001135836 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38598 FILM NUMBER: 19538482 BUSINESS ADDRESS: STREET 1: 200 W EVELYN AVE STREET 2: STE 200 CITY: MOUNTAIN VIEW STATE: CA ZIP: 94043 BUSINESS PHONE: 6509622000 MAIL ADDRESS: STREET 1: C/O MOBIUS VENTURE CAPITAL 2 PALO ALTO STREET 2: STE 500 3000 EL CAMINO REAL CITY: PALO ALTO STATE: CA ZIP: 94306 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MOBIUS TECHNOLOGY VENTURES SIDE FUND VI L P CENTRAL INDEX KEY: 0001135834 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38598 FILM NUMBER: 19538483 BUSINESS ADDRESS: STREET 1: 200 W EVELYN AVE STREET 2: STE 200 CITY: MOUNTAIN VIEW STATE: CA ZIP: 94043 BUSINESS PHONE: 6509622000 MAIL ADDRESS: STREET 1: C/O MOBIUS VENTURE CAPITAL 2 PALO ALTO STREET 2: STE 500 3000 EL CAMINO REAL CITY: PALO ALTO STATE: CA ZIP: 94306 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MOBIUS TECHNOLOGY VENTURES VI LP CENTRAL INDEX KEY: 0001135833 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38598 FILM NUMBER: 19538484 BUSINESS ADDRESS: STREET 1: 200 W EVELYN AVE STREET 2: STE 200 CITY: MOUNTAIN VIEW STATE: CA ZIP: 94043 BUSINESS PHONE: 6509622000 MAIL ADDRESS: STREET 1: C/O MOBIUS VANTURE CAPITAL 2 PALO ALLO STREET 2: STE. 500 3000 ELCAMINO REAL CITY: PALO ALTO STATE: CA ZIP: 94306 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SOFTBANK U S VENTURES VI L P CENTRAL INDEX KEY: 0001135837 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38598 FILM NUMBER: 19538485 BUSINESS ADDRESS: STREET 1: 200 W EVELYN AVE STREET 2: STE 200 CITY: MOUNTAIN VIEW STATE: CA ZIP: 94043 BUSINESS PHONE: 6509622000 MAIL ADDRESS: STREET 1: 200 W EVELYN AVE STREET 2: STE 200 CITY: MOUNTAIN VIEW STATE: CA ZIP: 94043 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MENDELSON JASON A CENTRAL INDEX KEY: 0001248191 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38598 FILM NUMBER: 19538486 MAIL ADDRESS: STREET 1: C/O FOUNDRY GROUP STREET 2: 1050 WALNUT STREET, SUITE 210 CITY: BOULDER STATE: CO ZIP: 80302 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FELD BRADLEY A CENTRAL INDEX KEY: 0001065270 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38598 FILM NUMBER: 19538487 MAIL ADDRESS: STREET 1: C/O FOUNDRY GROUP STREET 2: 1050 WALNUT STREET, SUITE 210 CITY: BOULDER STATE: CO ZIP: 80302 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 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2018-07-24 0 0001664703 Bloom Energy Corp BE 0001116442 MOBIUS VI LLC 1050 WALNUT STREET, SUITE 210 BOULDER CO 80302 0 0 1 0 0001135836 MOBIUS TECHNOLOGY VENTURES ADVISORS FUND VI L P 1050 WALNUT STREET, SUITE 210 BOULDER CO 80302 0 0 1 0 0001135834 MOBIUS TECHNOLOGY VENTURES SIDE FUND VI L P 1050 WALNUT STREET, SUITE 210 BOULDER CO 80302 0 0 1 0 0001135833 MOBIUS TECHNOLOGY VENTURES VI LP 1050 WALNUT STREET, SUITE 210 BOULDER CO 80302 0 0 1 0 0001135837 SOFTBANK U S VENTURES VI L P 1050 WALNUT STREET, SUITE 210 BOULDER CO 80302 0 0 1 0 0001248191 MENDELSON JASON A 1050 WALNUT STREET, SUITE 210 BOULDER CO 80302 0 0 1 0 0001065270 FELD BRADLEY A 1050 WALNUT STREET, SUITE 210 BOULDER CO 80302 0 0 1 0 Series C Convertible Preferred Stock Class B Common Stock 1358073 I By Mobius Technology Ventures VI, L.P. Series D Convertible Preferred Stock Class B Common Stock 28812 I By Mobius Technology Ventures VI, L.P. Series E Convertible Preferred Stock Class B Common Stock 36778 I By Mobius Technology Ventures VI, L.P. Series F Convertible Preferred Stock Class B Common Stock 4180 I By Mobius Technology Ventures VI, L.P. Series C Convertible Preferred Stock Class B Common Stock 1456582 I By SOFTBANK U.S. Ventures VI L.P. Series D Convertible Preferred Stock Class B Common Stock 30902 I By SOFTBANK U.S. Ventures VI L.P. Series E Convertible Preferred Stock Class B Common Stock 39446 I By SOFTBANK U.S. Ventures VI L.P. Series F Convertible Preferred Stock Class B Common Stock 4484 I By SOFTBANK U.S. Ventures VI L.P. Series C Convertible Preferred Stock Class B Common Stock 55540 I By Mobius Technology Ventures Side Fund VI L.P. Series D Convertible Preferred Stock Class B Common Stock 1178 I By Mobius Technology Ventures Side Fund VI L.P. Series E Convertible Preferred Stock Class B Common Stock 1504 I By Mobius Technology Ventures Side Fund VI L.P. Series F Convertible Preferred Stock Class B Common Stock 170 I By Mobius Technology Ventures Side Fund VI L.P. Series C Convertible Preferred Stock Class B Common Stock 52908 I By Mobius Technology Ventures Advisors Fund VI L.P. Series D Convertible Preferred Stock Class B Common Stock 1122 I By Mobius Technology Ventures Advisors Fund VI L.P. Series E Convertible Preferred Stock Class B Common Stock 1432 I By Mobius Technology Ventures Advisors Fund VI L.P. Series F Convertible Preferred Stock Class B Common Stock 162 I By Mobius Technology Ventures Advisors Fund VI L.P. The shares of Series C Convertible Preferred Stock, Series D Convertible Preferred Stock, Series E Convertible Preferred Stock and Series F Convertible Preferred Stock have no expiration date and are convertible at any time at the election of the holder and will automatically convert into shares of Class B Common Stock in connection with the Issuer's initial public offering ("IPO"). The Class B Common Stock is convertible into the Issuer's Class A Common Stock on a 1-for-1 basis at the holder's option or upon any transfer except for certain permitted transfers. All the outstanding shares of Class B common stock will convert automatically into shares of Class A common stock upon the date that is the earliest to occur of (i) immediately prior to the close of business on the fifth anniversary of the closing of Issuer's IPO, (ii) immediately prior to the close of business on the date on which the outstanding shares of Class B common stock represent less than five percent (5%) of the aggregate number of shares of Class A common stock and Class B common stock then outstanding, (iii) the date and time, or the occurrence of an event, specified in a written conversion election delivered by KR Sridhar to the Issuer's Secretary or Chairman of the Board to so convert all shares of Class B common stock, or (iv) immediately following the date of the death of KR Sridhar. The securities are held by Mobius Technology Ventures VI, L.P. ("Mobius Technology VI"). The securities are held by SOFTBANK U.S. Ventures VI, L.P. ("Softbank"). The securities are held by Mobius Technology Ventures Side Fund VI, L.P. ("Mobius Side Fund"). The securities are held by Mobius Technology Ventures Advisors Fund VI, L.P. ("Mobius Advisors Fund"). Mobius VI LLC ("Mobius VI") is the General Partner of Mobius Technology VI, Softbank, Mobius Side Fund and Mobius Advisors Fund (collectively, the "Mobius Funds"). Mobius VI may be deemed to indirectly beneficially own the securities owned by the Mobius Funds. Bradley A. Feld and Jason A. Mendelson are Managing Directors of Mobius VI and each share voting and dispositive power over the securities held by Mobius Funds. Each disclaims beneficial ownership of these securities except to the extent of his or its respective pecuniary interest therein. Mobius VI LLC, /s/ Jason A. Mendelson 2019-01-23 Mobius Technology Ventures Advisors Fund VI L.P., By: Mobius VI LLC, its General Partner, /s/ Jason A. Mendelson 2019-01-23 Mobius Technology Ventures Side Fund VI L.P., By: Mobius VI LLC, its General Partner, /s/ Jason A. Mendelson 2019-01-23 Mobius Technology Ventures VI, L.P., By: Mobius VI LLC, its General Partner, /s/ Jason A. Mendelson 2019-01-23 SOFTBANK U.S. Ventures VI L.P., By: Mobius VI LLC, its General Partner, /s/ Jason A. Mendelson 2019-01-23 /s/ Bradley A. Feld 2019-01-23 /s/ Jason A. Mendelson 2019-01-23