0001209191-20-029245.txt : 20200514
0001209191-20-029245.hdr.sgml : 20200514
20200514172756
ACCESSION NUMBER: 0001209191-20-029245
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200512
FILED AS OF DATE: 20200514
DATE AS OF CHANGE: 20200514
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DOERR L JOHN
CENTRAL INDEX KEY: 0001032455
STATE OF INCORPORATION: CA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38598
FILM NUMBER: 20879179
MAIL ADDRESS:
STREET 1: C/O KLEINER PERKINS CAUFIELD & BYERS
STREET 2: 2750 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
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
2020-05-12
0
0001664703
Bloom Energy Corp
BE
0001032455
DOERR L JOHN
4353 NORTH FIRST STREET
SAN JOSE
CA
95134
1
0
0
0
Class A common stock
2020-05-12
4
A
0
19813
0.00
A
32547
D
Class A common stock
2110839
I
By trust
Class A common stock
12804
I
By trust
Class A common stock
32052
I
By partnership
Class A common stock
275918
I
By trust
Class A common stock
19255
I
By trust
Class A common stock
19255
I
By trust
Restricted Stock Units granted under the Bloom Energy Corporation 2018 Equity Incentive Plan. The RSUs will vest on the date of the next annual stockholder meeting subject to continued service through such vesting date.
Held by Vallejo Ventures Trust, L. John and Ann Doerr, Trustees.
Held by the LJD Trust IX of which the reporting person is a trustee.
Held by LJD Ventures II Partnership of which the reporting person is a general partner.
Held by The 1999 Portico Trust of which reporting person is a trustee.
Held by The Hampton 1999 Trust dated May 25, 1999, of which reporting person is a trustee.
Held by The Austin 1999 Trust dated May 25, 1999, of which reporting person is a trustee.
/s/Shawn Soderberg, attorney-in-fact
2020-05-14