0000899243-19-001821.txt : 20190123
0000899243-19-001821.hdr.sgml : 20190123
20190123212718
ACCESSION NUMBER: 0000899243-19-001821
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180727
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: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38598
FILM NUMBER: 19538519
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: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38598
FILM NUMBER: 19538520
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: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38598
FILM NUMBER: 19538521
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: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38598
FILM NUMBER: 19538522
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: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38598
FILM NUMBER: 19538523
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: FELD BRADLEY A
CENTRAL INDEX KEY: 0001065270
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38598
FILM NUMBER: 19538524
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: MENDELSON JASON A
CENTRAL INDEX KEY: 0001248191
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38598
FILM NUMBER: 19538525
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
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2018-07-27
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
0001065270
FELD BRADLEY A
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
Series F Convertible Preferred Stock
2018-07-27
4
C
0
162
0.00
D
Class B Common Stock
162
0
I
By Mobius Technology Ventures Advisors Fund VI L.P.
Class B Common Stock
2018-07-27
4
C
0
162
0.00
A
Class A Common Stock
162
55624
I
By Mobius Technology Ventures Advisors Fund VI L.P.
Class B Common Stock
2019-01-18
4
C
0
1427843
0.00
D
Class A Common Stock
1427843
0
I
By Mobius Technology Ventures VI, L.P.
Class B Common Stock
2019-01-18
4
C
0
1531414
0.00
D
Class A Common Stock
1531414
0
I
By SOFTBANK U.S. Ventures VI L.P.
Class B Common Stock
2019-01-18
4
C
0
58392
0.00
D
Class A Common Stock
58392
0
I
By Mobius Technology Ventures Side Fund VI L.P.
Class B Common Stock
2019-01-18
4
C
0
55624
0.00
D
Class A Common Stock
55624
0
I
By Mobius Technology Ventures Advisors Fund VI L.P.
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 reporting person disclaims beneficial ownership of these securities except to the extent of his or its respective pecuniary interest therein.
Each share of Series C Convertible Preferred Stock, Series D Convertible Preferred Stock and Series E Convertible Preferred Stock and Series F Convertible Preferred Stock automatically converted into the Issuer's Class B Common Stock, on a 1 for 1 basis, immediately prior to the Closing of the Issuer's initial public offering on July 27, 2018 ("IPO") and had no expiration date.
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 July 27, 2018, (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.
Form 2 of 2.
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