Statement of Changes in Beneficial Ownership (4)
December 29 2020 - 6:03PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
PILLAI HARI |
2. Issuer Name and Ticker or Trading Symbol
Bloom Energy Corp
[
BE
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) EVP of CIG |
(Last)
(First)
(Middle)
4353 NORTH FIRST STREET |
3. Date of Earliest Transaction
(MM/DD/YYYY)
12/27/2020 |
(Street)
SAN JOSE, CA 95134
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Class A Common Stock | 12/27/2020 | | M | | 37500 | A | $0.00 | 92210 | D | |
Class A Common Stock | 12/28/2020 | | M | | 2084 | A | $11.31 | 94294 | D | |
Class A Common Stock | 12/28/2020 | | S(1) | | 39584 | D | $28.9262 (2) | 54710 | D | |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Restricted Stock Units (Class A Common Stock) | (3) | 12/27/2020 | | M | | | 37500 | (4) | 2/15/2029 | Class A Common Stock | 37500 | $0.00 | 75000 | D | |
Stock Option (Right to Buy Class A Common Stock) | $11.31 | 12/28/2020 | | M | | | 2084 | (5) | 2/15/2029 | Class A Common Stock | 2084 | $0.00 | 50000 | D | |
Explanation of Responses: |
(1) | The shares were sold pursuant to a Rule 10b5-1 trading plan adopted by the Reporting Person. |
(2) | The price reported represents the weighted average sale price per share. These shares were sold in multiple transactions at prices ranging from $28.08 to $31.47 per share. Upon request by the staff of the Securities and Exchange Commission, the Issuer, or any security holder of the Issuer, the Reporting Person will provide full information regarding the number of shares sold at each separate price. |
(3) | Each restricted stock unit (the "RSU") represents a contingent right to receive one (1) share of the Class A Common Stock of the Issuer upon settlement. |
(4) | The RSUs vest in annual installments of 37,500 shares each on December 27, 2019, December 27, 2020, December 27, 2021 and December 27, 2022, subject to continuous service by the Reporting Person with the Issuer. |
(5) | The stock option vested as to 1/4 of the shares on December 27, 2019 and the remaining options will vest as to 1/36 of the shares monthly over the remaining three years, subject to the Reporting Person's continuous service to the Issuer through each vesting date. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
PILLAI HARI 4353 NORTH FIRST STREET SAN JOSE, CA 95134 |
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| EVP of CIG |
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Signatures
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/s/ Shawn Soderberg, as attorney-in-fact | | 12/29/2020 |
**Signature of Reporting Person | Date |
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