0001209191-20-044782.txt : 20200804 0001209191-20-044782.hdr.sgml : 20200804 20200804173950 ACCESSION NUMBER: 0001209191-20-044782 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200801 FILED AS OF DATE: 20200804 DATE AS OF CHANGE: 20200804 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: 201074461 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 2020-08-01 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 2020-08-01 4 M 0 4444 0.00 A 82155 D Class A Common Stock 333333 I By LLC Restricted Stock Units (RSU) 2020-08-01 4 M 0 4444 0.00 D Class A Common Stock 4444 4444 D Held by JCEP Investments, LLC of which the reporting person is the managing member. Each RSU represents a contingent right to receive one (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. /s/Shawn Soderberg, attorney-in-fact 2020-08-04