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