0001209191-20-005261.txt : 20200128 0001209191-20-005261.hdr.sgml : 20200128 20200128212522 ACCESSION NUMBER: 0001209191-20-005261 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200125 FILED AS OF DATE: 20200128 DATE AS OF CHANGE: 20200128 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Powell Colin CENTRAL INDEX KEY: 0001603044 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38598 FILM NUMBER: 20556177 MAIL ADDRESS: STREET 1: THE LANDMARK @ ONE MARKET STREET STREET 2: SUITE 300 CITY: SAN FRANCISCO STATE: CA ZIP: 94105 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 2020-01-25 0 0001664703 Bloom Energy Corp BE 0001603044 Powell Colin 4353 NORTH FIRST STREET SAN JOSE CA 95134 1 0 0 0 Class A common stock 2020-01-22 5 G 0 E 11523 0.00 D 0 I By trust Class A common stock 2020-01-22 5 G 0 E 11523 0.00 A 24527 D Class A common stock 2020-01-25 4 C 0 25825 0.00 A 450126 I By trust Class A common stock 2020-01-28 5 G 0 E 11523 0.00 D 12734 D Class A common stock 2020-01-28 5 G 0 E 11523 0.00 A 461649 I By trust Restricted stock units (Class B common stock) 2020-01-25 4 M 0 25825 0.00 D 2028-07-24 Class B common stock 25825 25825 D Class B common stock 2020-01-25 4 M 0 25825 0.00 A Class A common stock 25825 25825 D Class B common stock 2020-01-25 4 C 0 25825 0.00 D Class A common stock 25825 0 D Held by the 2016 CLP 4-year GRAT U/A DAD 10/16/2016, of which the reporting person is the trustee. Transferred from reporting person's GRAT. Conversion of a derivative security in accordance with its terms. Held by The Colin L. Powell Revocable Trust U/A DTD 01/26/2006, of which the reporting person is a trustee. Transfer of shares to reporting person's revocable trust. Each RSU represents a contingent right to receive 1 share of the issuer's Class B common stock. The RSUs vest over two years at six-month intervals from the vesting commencement date. All of the outstanding shares of Class B common stock will convert automatically into shares of Class A common stock upon the occurrence of certain events. In addition, the Class B common stock may be converted into shares of Class A common stock at the election of the holder. By Shawn Soderberg as attorney in fact 2020-01-28