0001664703-21-000066.txt : 20210514
0001664703-21-000066.hdr.sgml : 20210514
20210514182048
ACCESSION NUMBER: 0001664703-21-000066
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210512
FILED AS OF DATE: 20210514
DATE AS OF CHANGE: 20210514
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: 21926653
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
FISCAL YEAR END: 1231
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
wf-form4_162103082800656.xml
FORM 4
X0306
4
2021-05-12
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
2021-05-12
4
A
0
10357
0
A
30170
D
Class A Common Stock
2021-05-13
5
G
0
E
19813
0
D
10357
D
Class A Common Stock
2021-05-13
4
G
0
19813
0
A
545846
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 the vesting date.
Transfer of shares to reporting person's revocable trust.
Held by The Colin L. Powell Revocable Trust U/A DTD 01/26/2006, of which the reporting person is a trustee.
/s/ Shawn M. Soderberg, as attorney-in-fact
2021-05-14