0001209191-18-044118.txt : 20180726
0001209191-18-044118.hdr.sgml : 20180726
20180726213325
ACCESSION NUMBER: 0001209191-18-044118
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20180724
FILED AS OF DATE: 20180726
DATE AS OF CHANGE: 20180726
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Brennan Susan Seilheimer
CENTRAL INDEX KEY: 0001745993
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38598
FILM NUMBER: 18973089
MAIL ADDRESS:
STREET 1: 1299 ORLEANS DRIVE
CITY: SUNNYVALE
STATE: CA
ZIP: 94089
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
2018-07-24
0
0001664703
Bloom Energy Corp
BE
0001745993
Brennan Susan Seilheimer
1299 ORLEANS DRIVE
SUNNYVALE
CA
94089
0
1
0
0
EVP and COO
Stock Option (Right to Buy Class B Common Stock)
15.00
2018-07-24
4
A
0
20000
0.00
A
2028-07-23
Class B Common Stock
20000
20000
D
Stock Option (Right to Buy Class B Common Stock)
15.00
2018-07-24
4
A
0
100000
0.00
A
2028-07-23
Class B Common Stock
100000
100000
D
Restricted Stock Unit (RSU) (Class B Common Stock)
2018-07-24
4
A
0
46667
0.00
A
Class B Common Stock
46667
46667
D
Restricted Stock Unit (RSU)(Class B Common Stock
2018-07-24
4
A
0
33334
0.00
A
Class B Common Stock
33334
33334
D
Restricted Stock Units (RSU) (Class B Common Stock)
2018-07-24
4
A
0
209267
0.00
A
Class B Common Stock
209267
209267
D
The option will vest at the rate of 50% on the one year anniversary of July 24, 2018, and the remaining 50% on the second year anniversary of such date, subject to the reporting person's continued service through each vesting date.
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 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 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 option will vest in three equal annual installments commencing on the second year anniversary of July 24, 2018, followed by the third and fourth anniversaries, so that the entire grant is fully vested on the 4th year anniversary of July 24, 2018, subject to the reporting person's continued service through each vesting date.
Each RSU represents a contingent right to receive 1 share of the issuer's Class B Common Stock upon settlement.
RSU's will vest 50% on the first allowable trading date following the one-year anniversary of July 24, 2018, and the remaining 50% to vest on the first allowable trading date following the second-year anniversary of July 24, 2018, subject to the Company's Insider Trading Policy and trading window and to the reporting person's continued service through each vesting date.
These RSU's will vest on the first allowable trading day following the one year anniversary of July 24, 2018, subject to the Company's Insider Trading Policy and trading window and to the reporting person's continued service through each vesting date.
These RSU's will vest over two years at 6 month intervals from the end of lock-up and during an open trading window, subject to the reporting person's continued service through each vesting date.
/s/Shawn Soderberg, attorney-in-fact
2018-07-26