0001209191-19-026582.txt : 20190430 0001209191-19-026582.hdr.sgml : 20190430 20190430164043 ACCESSION NUMBER: 0001209191-19-026582 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190427 FILED AS OF DATE: 20190430 DATE AS OF CHANGE: 20190430 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: 19782442 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: 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 2019-04-27 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 2019-04-27 4 C 0 5000 0.00 A 88213 D Class A Common Stock 6000 I Eddy Zervigon IRA Account Restricted Stock Unit (RSU) (Class B Common Stock) 2019-04-27 4 M 0 5000 0.00 D Class B Common Stock 5000 0 D Class B Common Stock 2019-04-27 4 M 0 5000 0.00 A Class A Common Stock 5000 5000 D Class B Common Stock 2019-04-27 4 C 0 5000 0.00 D Class A Common Stock 5000 0 D Each RSU represents a contingent right to receive 1 share of the issuer's Class B Common Stock upon settlement. The RSU vests on April 27, 2019 or the date of the annual stockholder meeting, whichever comes first, subject to continued service through such 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 2019-04-30