0001209191-19-005788.txt : 20190129
0001209191-19-005788.hdr.sgml : 20190129
20190129171045
ACCESSION NUMBER: 0001209191-19-005788
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: ZERVIGON EDDY
CENTRAL INDEX KEY: 0001286288
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38598
FILM NUMBER: 19549474
MAIL ADDRESS:
STREET 1: 1601 DRY CREEK DRIVE, SUITE 260
CITY: LONGMONT
STATE: CO
ZIP: 80503
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
0001286288
ZERVIGON EDDY
4353 NORTH FIRST STREET
SAN JOSE
CA
95134
1
0
0
0
Class A Common Stock
2019-01-25
4
M
0
2917
0.00
A
2917
D
Restricted Stock Unit (RSU) (Class B Common Stock)
2019-01-25
4
M
0
2917
0.00
D
Class B Common Stock
2917
0
D
Class B Common Stock
2019-01-25
4
M
0
2917
0.00
A
Class A Common Stock
2917
33213
D
Class B Common Stock
2019-01-25
4
M
0
2917
0.00
D
Class A Common Stock
2917
30296
D
Class B Common Stock
Class A Common Stock
6000
6000
I
Eddy Zervigon IRA Account
Each RSU represents a contingent right to receive 1 share of the issuer's Class B Common Stock upon settlement.
The RSU will vest 100% at the end of lock-up period and during an open trading window, subject to the reporting person's continuous service with the Issuer through the vesting 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.
/s/Shawn Soderberg, attorney-in-fact
2019-01-29