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