0001209191-19-015609.txt : 20190304
0001209191-19-015609.hdr.sgml : 20190304
20190304162256
ACCESSION NUMBER: 0001209191-19-015609
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190228
FILED AS OF DATE: 20190304
DATE AS OF CHANGE: 20190304
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: 19654045
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
2019-02-28
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
2019-02-28
4
C
0
6000
0.00
A
6000
I
Eddy Zervigon IRA Account
Class A Common Stock
83213
D
Class B Common Stock
2019-02-28
4
C
0
6000
0.00
D
Class A Common Stock
6000
0
I
Eddy Zervigon IRA Account
Conversion of a derivative security pursuant to its terms.
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
2019-03-04