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