0001209191-19-005731.txt : 20190129 0001209191-19-005731.hdr.sgml : 20190129 20190129145230 ACCESSION NUMBER: 0001209191-19-005731 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190125 FILED AS OF DATE: 20190129 DATE AS OF CHANGE: 20190129 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: 19548420 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 2019-01-25 0 0001664703 Bloom Energy Corp BE 0001041956 BUSH MARY K 4353 NORTH FIRST STREET SAN JOSE CA 95134 1 0 0 0 Restricted Stock Units (RSU) (Class B Common Stock) 2019-01-25 4 M 0 15800 0.00 D Class B Common Stock 15800 47400 D Class B Common Stock 2019-01-25 4 M 0 15800 0.00 A Class A Common Stock 15800 15800 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 the vesting commencement date. All the outstanding shares of our Class B common stock will convert automatically into shares of our Class A common stock upon the occurrence of certain events. In addition, Class B common stock may be converted into shares of Class A common stock at any time at the election of the holder. Following such conversion, each share of Class A common stock will have one vote per share and the rights of the holders of all outstanding common stock will be identical. /s/Shawn Soderberg, attorney-in-fact 2019-01-29