0001664703-21-000070.txt : 20210514 0001664703-21-000070.hdr.sgml : 20210514 20210514182537 ACCESSION NUMBER: 0001664703-21-000070 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: CHAMBERS JOHN T CENTRAL INDEX KEY: 0001198044 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38598 FILM NUMBER: 21926672 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 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_162103112059739.xml FORM 4 X0306 4 2021-05-12 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 2021-05-12 4 A 0 10357 0 A 92512 D Class A Common Stock 333333 I By LLC Restricted stock units ("RSUs") 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 his continued service through the vesting date. Held by JCEP Investments, LLC of which the reporting person is the managing member. /s/ Shawn M. Soderberg, as attorney-in-fact 2021-05-14