0001209191-19-052411.txt : 20191003 0001209191-19-052411.hdr.sgml : 20191003 20191003183018 ACCESSION NUMBER: 0001209191-19-052411 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191001 FILED AS OF DATE: 20191003 DATE AS OF CHANGE: 20191003 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: 191137099 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 2019-10-01 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 2019-10-01 4 A 0 11075 0.00 A 57898 D Class A common stock 333333 I By LLC Held by JCEP Investments, LLC of which the reporting person is the managing member. Shawn Soderberg as attorney in fact for the reporting person 2019-10-03