0001209191-18-055612.txt : 20181018 0001209191-18-055612.hdr.sgml : 20181018 20181018203655 ACCESSION NUMBER: 0001209191-18-055612 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180724 FILED AS OF DATE: 20181018 DATE AS OF CHANGE: 20181018 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BUSH MARY K CENTRAL INDEX KEY: 0001041956 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38598 FILM NUMBER: 181129203 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] 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 0001041956 BUSH MARY K 1299 ORLEANS DRIVE SUNNYVALE CA 94089 1 0 0 0 Restricted Stock Units (RSU) (Class B Common Stock) 2018-07-24 4 A 0 63200 0.00 A Class B Common Stock 63200 63200 D Each RSU represents a contingent right to receive 1 share of the Issuer's Class B Common Stock upon settlement. The RSU vests over two years at six month intervals from July 24, 2018 and during an open trading window, subject to the Issuer's Insider Trading Policy and the reporting person's continuous service with the Issuer 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 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. /s/Shawn Soderberg, attorney-in-fact 2018-10-18