0001209191-19-040540.txt : 20190702 0001209191-19-040540.hdr.sgml : 20190702 20190702185757 ACCESSION NUMBER: 0001209191-19-040540 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190628 FILED AS OF DATE: 20190702 DATE AS OF CHANGE: 20190702 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: 19939567 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 2019-06-28 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 2019-06-28 4 C 0 15812 0.00 A 389146 I By trust Class A Common Stock 87115 D Stock Option (Right to Buy Class B Common Stock) 5.63 2019-06-28 4 M 0 15812 0.00 D 2020-08-05 Class B Common stock 15812 0 D Class B common stock 2019-06-28 4 M 0 15812 0.00 A Class B Common Stock 15812 15812 D Class B common stock 2019-06-28 4 C 0 15812 0.00 D Class A Common Stock 15812 0 D Conversion of a derivative security pursuant to its terms. Held by The Venkataraman Living Trust UTA dtd 6/8/2011 of which the reporting person is a trustee, The option is fully vested. All the outstanding shares of the company's Class B Common Stock will convert automatically into shares of the company's 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. Shawn Soderberg as attorney in fact for the reporting person 2019-07-02