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