0001209191-19-025932.txt : 20190425
0001209191-19-025932.hdr.sgml : 20190425
20190425140330
ACCESSION NUMBER: 0001209191-19-025932
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190423
FILED AS OF DATE: 20190425
DATE AS OF CHANGE: 20190425
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: 19766820
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: 4353 NORTH FIRST STREET
CITY: SAN JOSE
STATE: CA
ZIP: 95134
BUSINESS PHONE: 408-543-1500
MAIL ADDRESS:
STREET 1: 4353 NORTH FIRST STREET
CITY: SAN JOSE
STATE: CA
ZIP: 95134
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2019-04-23
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
118680
D
Class A Common Stock
373334
I
The Venkataraman Living Trust dated June 8, 2011
Stock Option (Right to Buy Class B Common Stock)
5.63
2019-04-23
4
M
0
30000
0.00
D
2020-08-05
Class B Common Stock
30000
15812
D
Class B Common Stock
2019-04-23
4
M
0
30000
0.00
A
Class A Common Stock
30000
30000
D
Class B Common Stock
2019-04-23
4
C
0
30000
0.00
D
Class A Common Stock
30000
0
D
Includes 30,000 shares transferred to The Venkataraman Living Trust dated June 8, 2011
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.
Conversion of a derivative security pursuant to its terms.
/s/Shawn Soderberg, attorney-in-fact
2019-04-25