0001144204-18-039955.txt : 20180725
0001144204-18-039955.hdr.sgml : 20180725
20180725200836
ACCESSION NUMBER: 0001144204-18-039955
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180724
FILED AS OF DATE: 20180725
DATE AS OF CHANGE: 20180725
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Guardians of New Zealand Superannuation
CENTRAL INDEX KEY: 0001747883
STATE OF INCORPORATION: Q2
FISCAL YEAR END: 0630
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38598
FILM NUMBER: 18969741
BUSINESS ADDRESS:
STREET 1: PO BOX 106 607, NEW ZEALAND
CITY: AUCKLAND
STATE: Q2
ZIP: 1143
BUSINESS PHONE: 011006493006980
MAIL ADDRESS:
STREET 1: PO BOX 106 607, NEW ZEALAND
CITY: AUCKLAND
STATE: Q2
ZIP: 1143
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
tv499217_from3.xml
OWNERSHIP DOCUMENT
X0206
3
2018-07-24
0
0001664703
Bloom Energy Corp
BE
0001747883
Guardians of New Zealand Superannuation
PO BOX 106 607, NEW ZEALAND
AUCKLAND
Q2
1143
NEW ZEALAND
0
0
1
0
Series G Preferred Stock
Class A Common Stock
2587991
D
The shares of Series G Preferred Stock reported herein are held by Guardians of New Zealand Superannuation as manager and administrator of the New Zealand Superannuation Fund being property of Her Majesty the Queen in right of New Zealand and managed by the Guardians of New Zealand Superannuation. The Series G Preferred Stock will convert into 2,587,991 shares of the Issuer's Class B Common Stock upon the closing of the Issuer's sale of its Class A Common Stock in its firm commitment underwritten initial public offering (the "Offering") pursuant to a registration statement on Form S-1 (File No. 333-225571) under the Securities Act of 1933 (the "Registration Statement").
Upon the closing of the Offering, each share of Class B Common Stock will be convertible into one share of Class A Common Stock at the option of the reporting person, upon the transfer of such share of Class B Common Stock or upon the occurrence of certain other events. The Class B Common Stock has no expiration date. The rights of the holders of Class A Common Stock and Class B Common Stock are identical, except with respect to voting and conversion rights. Each share of Class A Common Stock is entitled to one vote per share. Each share of Class B Common Stock is entitled to ten votes per share.
As disclosed in the Registration Statement, the total number of shares of the Issuer's Class A Common Stock and Class B Common Stock to be outstanding after the Offering is expected to be 106,066,537 shares (the "Total Common Stock"), of which the Reporting Person's holdings of 2,587,991 shares of Class B Common Stock would equal approximately 2.4% of the Total Common Stock. The Reporting Person is including this information on this Form 3 in reliance on the information provided by the Issuer in the Registration Statement. The filing of this Form 3 shall not be construed as an admission that the reporting person is or was for the purposes of Section 16(a) of the Securities Exchange Act of 1934 or otherwise the beneficial owners of any of the shares of Class A or Class B common stock of the Issuer. Pursuant to Rule 16a-1, the reporting person disclaims such beneficial ownership, except to the extent of their respective pecuniary interest.
/s/ Adrien Hunter, Authorized Signatory
2018-07-25