0001104659-19-067772.txt : 20191126 0001104659-19-067772.hdr.sgml : 20191126 20191126204141 ACCESSION NUMBER: 0001104659-19-067772 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191122 FILED AS OF DATE: 20191126 DATE AS OF CHANGE: 20191126 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KLEINER PERKINS CAUFIELD & BYERS X B LP CENTRAL INDEX KEY: 0001128699 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38598 FILM NUMBER: 191252897 BUSINESS ADDRESS: STREET 1: 2750 SAND HILL ROAD CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KLEINER PERKINS CAUFIELD & BYERS X A LP CENTRAL INDEX KEY: 0001118829 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38598 FILM NUMBER: 191252898 BUSINESS ADDRESS: STREET 1: 2750 SAND HILL RD CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KLEINER PERKINS CAUFIELD & BYERS IX B LP CENTRAL INDEX KEY: 0001093461 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38598 FILM NUMBER: 191252899 BUSINESS ADDRESS: STREET 1: 2750 SAND HILL ROAD CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 6502332750 MAIL ADDRESS: STREET 1: 2750 SAND HILL RD CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KLEINER PERKINS CAUFIELD & BYERS IX A LP CENTRAL INDEX KEY: 0001093460 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38598 FILM NUMBER: 191252900 BUSINESS ADDRESS: STREET 1: 2750 SAND HILL ROAD CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 6502332750 MAIL ADDRESS: STREET 1: 2750 SAND HILL RD CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KPCB IX ASSOCIATES LLC CENTRAL INDEX KEY: 0001111392 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38598 FILM NUMBER: 191252901 BUSINESS ADDRESS: STREET 1: 2750 SAND HILL RD CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 6502332750 MAIL ADDRESS: STREET 1: 2750 SAND HILL RD CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KPCB X ASSOCIATES LLC CENTRAL INDEX KEY: 0001242712 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38598 FILM NUMBER: 191252902 MAIL ADDRESS: STREET 1: 2750 DANS HILL ROAD CITY: MENLO PARK STATE: CA ZIP: 94025 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 tm1923989d1_form4.xml FORM 4 X0306 4 2019-11-22 1 0001664703 Bloom Energy Corp BE 0001242712 KPCB X ASSOCIATES LLC 2750 SAND HILL ROAD MENLO PARK CA 94025 0 0 1 0 0001111392 KPCB IX ASSOCIATES LLC 2750 SAND HILL ROAD MENLO PARK CA 94025 0 0 1 0 0001093460 KLEINER PERKINS CAUFIELD & BYERS IX A LP 2750 SAND HILL RD MENLO PARK CA 94025 0 0 1 0 0001093461 KLEINER PERKINS CAUFIELD & BYERS IX B LP 2750 SAND HILL RD MENLO PARK CA 94025 0 0 1 0 0001118829 KLEINER PERKINS CAUFIELD & BYERS X A LP 2750 SAND HILL ROAD MENLO PARK CA 94025 0 0 1 0 0001128699 KLEINER PERKINS CAUFIELD & BYERS X B LP 2750 SAND HILL ROAD MENLO PARK CA 94025 0 0 1 0 Class A Common Stock 2019-11-22 4 C 0 1029791 0 A 7029791 I See footnote Class A Common Stock 2019-11-22 4 J 0 7029791 0 D 0 I See footnote Class A Common Stock 2019-11-22 4 J 0 4884244 0 A 4884244 I See footnote Class A Common Stock 2019-11-22 4 J 0 4884244 0 D 0 I See footnote Class B Common Stock 2019-11-22 4 C 0 1029791 0 D Class A Common Stock 1029791 7573804 I See footnote Conversion of a derivative security in accordance with its terms. All shares are held for convenience in the name of KPCB Holdings, Inc., as nominee, for the accounts of such individuals and entities who each exercise their own voting and dispositive control over such shares. KPCB IX Associates, LLC ("KPCB IX Associates"), is the general partner of Kleiner Perkins Caufield & Byers IX-A, L.P. ("KPCB IX-A") and Kleiner Perkins Caufield & Byers IX-B, L.P. ("KPCB IX-B"). KPCB X Associates, LLC ("KPCB X Associates"), is the general partner of Kleiner Perkins Caufield & Byers X-A, L.P. ("KPCB X-A") and Kleiner Perkins Caufield & Byers X-B, L.P. ("KPCB X-B"). Brook Byers, L. John Doerr, Kevin Compton, Doug Mackenzie, Raymond Lane and Theodore Schlein, the managers of KPCB IX Associates, share voting and dispositive control over the shares held by KPCB IX-A and KPCB IX-B. Brook Byers, L. John Doerr, Kevin Compton, Doug Mackenzie, Raymond Lane and Theodore Schlein, the managers of KPCB X Associates, share voting and dispositive control over the shares held by KPCB X-A and KPCB X-B. Each manager of KPCB IX Associates and KPCB X Associates disclaims beneficial ownership of the shares held by KPCB IX-A, KPCB IX-B, KPCB X-A and KPCB X-B. Consists of (a) 5,915,974 shares of Class A Common Stock held by KPCB IX-A; (b) 182,638 shares of Class A Common Stock held by KPCB IX-B; and (c) 931,179 shares of Class A Common Stock held by individuals and entities associated with Kleiner Perkins Caufield & Byers. Represents a pro-rata in-kind distribution of Class A Common Stock of the Issuer by KPCB IX-A and KPCB IX-B without consideration to their partners (the "Fund Distribution") and a change in the form of beneficial ownership for individuals and entities associated with Kleiner Perkins Caufield & Byers. Represents a change in the form of ownership from indirect to direct by virtue of the receipt of shares in the Fund Distribution. Consists of 4,884,244 shares of Class A Common Stock held by KPCB IX Associates. Represents a pro-rata in-kind distribution of Class A Common Stock of the Issuer by KPCB IX Associates without consideration to its members. The Class B Common Stock is convertible into the Issuer's Class A Common Stock on a 1-for-1 basis (a) at the holder's option; or (b) upon any transfer except 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 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. Consists of (a) 4,785,752 shares of Class B Common Stock held by KPCB X-A; (b) 134,977 shares of Class B Common Stock held by KPCB X-B; and (c) 2,653,075 shares of Class B Common Stock held by individuals and entities associated with Kleiner Perkins Caufield & Byers, including 721,730 shares of Class B Common Stock held by L. John and Ann Doerr, Trustees of the Vallejo Ventures Trust. /s/ Susan Biglieri, Chief Financial Officer of KPCB IX Associates, LLC 2019-11-26 /s/ Susan Biglieri, Chief Financial Officer of KPCB IX Associates, LLC, General Partner of Kleiner Perkins Caufield & Byers IX-A, L.P. 2019-11-26 /s/ Susan Biglieri, Chief Financial Officer of KPCB IX Associates, LLC, General Partner of Kleiner Perkins Caufield & Byers IX-B, L.P. 2019-11-26 /s/ Susan Biglieri, Chief Financial Officer of KPCB X Associates, LLC 2019-11-26 /s/ Susan Biglieri, Chief Financial Officer of KPCB X Associates, LLC, General Partner of Kleiner Perkins Caufield & Byers X-A, L.P. 2019-11-26 /s/ Susan Biglieri, Chief Financial Officer of KPCB X Associates, LLC, General Partner of Kleiner Perkins Caufield & Byers X-B, L.P. 2019-11-26