0000950170-24-036033.txt : 20240325 0000950170-24-036033.hdr.sgml : 20240325 20240325174818 ACCESSION NUMBER: 0000950170-24-036033 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230727 FILED AS OF DATE: 20240325 DATE AS OF CHANGE: 20240325 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BUSH MARY K CENTRAL INDEX KEY: 0001041956 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38598 FILM NUMBER: 24780362 MAIL ADDRESS: STREET 1: 3509 WOODBINE STREET CITY: CHEVY CHASE STATE: MD ZIP: 20815 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Bloom Energy Corp CENTRAL INDEX KEY: 0001664703 STANDARD INDUSTRIAL CLASSIFICATION: ELECTRICAL INDUSTRIAL APPARATUS [3620] ORGANIZATION NAME: 04 Manufacturing IRS NUMBER: 770565408 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 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 ownership.xml 4 X0508 4 2023-07-27 0001664703 Bloom Energy Corp BE 0001041956 BUSH MARY K 4353 NORTH FIRST STREET SAN JOSE CA 95134 true false false false false Stock Option (Right to Buy Class B Common Stock) 30.96 2023-07-27 4 J false 50000 0.00 D 2026-11-09 Class B Common Stock 50000 0 D Stock Option (Right to Buy) 30.96 2023-07-27 4 J false 50000 0.00 A 2026-11-09 Class A Common Stock 50000 50000 D Reflects the sunset of the Issuer's dual class common stock structure, and does not constitute a voluntary transaction by the Reporting Person. Effective as of immediately prior to the close of business on July 27, 2023, each share of the Issuer's Class B Common Stock, par value $0.0001 per share (the "Class B Common Stock"), automatically converted into one share of the Issuer's Class A Common Stock, par value $0.0001 per share (the "Class A Common Stock"), pursuant to the Issuer's Restated Certificate of Incorporation. In connection with the foregoing, the outstanding options to purchase shares of Class B Common Stock remain unchanged, except that the underlying shares now represent Class A Common Stock. These options are fully vested. /s/ Shawn M. Soderberg, as attorney-in-fact 2024-03-25