0001209191-19-044496.txt : 20190805 0001209191-19-044496.hdr.sgml : 20190805 20190805160634 ACCESSION NUMBER: 0001209191-19-044496 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190801 FILED AS OF DATE: 20190805 DATE AS OF CHANGE: 20190805 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CHAMBERS JOHN T CENTRAL INDEX KEY: 0001198044 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38598 FILM NUMBER: 19998674 MAIL ADDRESS: STREET 1: 170 W. TASMAN DR. CITY: SAN JOSE STATE: CA ZIP: 95134-1706 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 2019-08-01 0 0001664703 Bloom Energy Corp BE 0001198044 CHAMBERS JOHN T 4353 NORTH FIRST STREET SAN JOSE CA 95134 1 0 0 0 Class A Common Stock 2019-08-01 4 M 0 4445 0.00 A 46823 D Class A Common Stock 333333 I By LLC Restricted Stock Units (RSUs) Class A Common Stock 2019-08-01 4 M 0 4445 0.00 D 2028-08-01 Class A Common Stock 4445 8888 D Held by JCEP Investments, LLC of which the reporting person is the managing member. Each RSU represents a contingent right to receive 1 share of the Issuer's Class A Common Stock upon settlement. The RSU will vest 34% on the first anniversary of August 1, 2018; 33% will vest on the second anniversary of August 1, 2018; and 33% will vest on the third anniversary of August 1, 2018, subject to the reporting person's continued service with the Issuer through each vesting date. Shawn Soderberg as attorney in fact for the reporting person 2019-08-05