0001664703-21-000103.txt : 20210528 0001664703-21-000103.hdr.sgml : 20210528 20210528184125 ACCESSION NUMBER: 0001664703-21-000103 CONFORMED SUBMISSION TYPE: 3/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210512 FILED AS OF DATE: 20210528 DATE AS OF CHANGE: 20210528 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Griffiths Glen CENTRAL INDEX KEY: 0001863060 FILING VALUES: FORM TYPE: 3/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-38598 FILM NUMBER: 21982179 MAIL ADDRESS: STREET 1: 4353 NORTH FIRST STREET CITY: SAN JOSE STATE: CA ZIP: 95134 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 3/A 1 wf-form3a_162224166222275.xml FORM 3/A X0206 3/A 2021-05-12 2021-05-20 0 0001664703 Bloom Energy Corp BE 0001863060 Griffiths Glen 4353 NORTH FIRST STREET SAN JOSE CA 95134 0 1 0 0 EVP, Services Class A Common Stock 123128 D Includes 931 deferred stock units acquired pursuant to the Issuer's 2021 Deferred Compensation Plan. These 931 deferred stock units were omitted from the Reporting Person's Form 3, and also were omitted from one Form 4 filed by the Reporting Person after his original Form 3 was filed. /s/ Shawn M. Soderberg, as attorney-in-fact 2021-05-28