0001209191-19-014127.txt : 20190227
0001209191-19-014127.hdr.sgml : 20190227
20190227171247
ACCESSION NUMBER: 0001209191-19-014127
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190225
FILED AS OF DATE: 20190227
DATE AS OF CHANGE: 20190227
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Venkataraman Swaminathan
CENTRAL INDEX KEY: 0001746127
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38598
FILM NUMBER: 19638780
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
2019-02-25
0
0001664703
Bloom Energy Corp
BE
0001746127
Venkataraman Swaminathan
4353 NORTH FIRST STREET
SAN JOSE
CA
95134
0
1
0
0
EVP of Engineering and CTO
Class A Common Stock
2019-02-25
4
C
0
4188
0.00
A
59738
D
Class A Common Stock
2019-02-25
4
S
0
24188
15.00
D
55550
D
Class A Common Stock
290000
I
The Venkataraman Living Trust dated June 8, 2011
Stock Option (Right to Buy Class B Common Stock)
5.63
2019-02-25
4
M
0
4188
0.00
D
2020-08-05
Class B Common Stock
4188
45812
D
Class B Common Stock
2019-02-25
4
M
0
4188
0.00
A
Class A Common Stock
4188
4188
D
Class B Common Stock
2019-02-25
4
C
0
4188
0.00
D
Class A Common Stock
4188
0
D
Conversion of a derivative security pursuant to its terms.
Includes 20,000 shares previously held indirectly as Swaminathan Venkataraman, Trustee of The Venkataraman Living Trust dated June 8, 2011 which were transferred to the reporting person immediately prior to the sale.
The option is fully vested.
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
2019-02-27