Filing Details

Accession Number:
0001209191-18-044626
Form Type:
4
Zero Holdings:
No
Publication Time:
2018-07-31 20:13:57
Reporting Period:
2018-07-27
Accepted Time:
2018-07-31 20:13:57
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1664703 Bloom Energy Corp BE () CA
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1032455 John L Doerr 1299 Orleans Drive
Sunnyvale CA 94089
Yes No No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Class A Common Stock Acquisiton 2018-07-27 1,333,333 $15.00 1,333,333 No 4 P Indirect Vallejo Ventures Trust
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Indirect Vallejo Ventures Trust
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Class B Common Stock Series A Convertible Preferred Stock Disposition 2018-07-27 8,423,073 $0.00 8,423,073 $0.00
Class A Common Stock Class B Common Stock Acquisiton 2018-07-27 8,423,073 $0.00 8,423,073 $0.00
Class B Common Stock Series B Convertible Preferred Stock Disposition 2018-07-27 3,120,525 $0.00 3,120,525 $0.00
Class A Common Stock Class B Common Stock Acquisiton 2018-07-27 3,120,525 $0.00 3,120,525 $0.00
Class B Common Stock Series C Convertible Preferred Stock Disposition 2018-07-27 632,293 $0.00 632,293 $0.00
Class A Common Stock Class B Common Stock Acquisiton 2018-07-27 632,293 $0.00 632,293 $0.00
Class B Common Stock Series D Convertible Preferred Stock Disposition 2018-07-27 177,071 $0.00 177,071 $0.00
Class A Common Stock Class B Common Stock Acquisiton 2018-07-27 177,071 $0.00 177,071 $0.00
Class B Common Stock Series E Convertible Preferred Stock Disposition 2018-07-27 262,164 $0.00 262,164 $0.00
Class A Common Stock Class B Common Stock Acquisiton 2018-07-27 262,164 $0.00 262,164 $0.00
Classs B Common Stock Series F Convertible Preferred Stock Disposition 2018-07-27 119,911 $0.00 119,911 $0.00
Class A Common Stock Class B Common Stock Acquisiton 2018-07-27 119,911 $0.00 119,911 $0.00
Class B Common Stock Series. G Convertible Preferred Stock Disposition 2018-07-27 247,967 $0.00 247,967 $0.00
Class A Common Stock Class B Common Stock Acquisiton 2018-07-27 247,967 $0.00 247,967 $0.00
Class B Common Stock 8% Convertible Preferred Note (Series G) Disposition 2018-07-27 329,536 $0.00 329,536 $0.00
Class A Common Stock Class B Common Stock Acquisiton 2018-07-27 329,536 $0.00 329,536 $0.00
Class B Common Stock Series A Convertible Preferred Stock Disposition 2018-07-27 426,927 $0.00 426,927 $0.00
Class A Common Stock Class B Common Stock Acquisiton 2018-07-27 426,927 $0.00 426,927 $0.00
Class B Common Stock Series B Convertible Preferred Stock Disposition 2018-07-27 158,165 $0.00 158,165 $0.00
Class A Common Stock Class B Common Stock Acquisiton 2018-07-27 158,165 $0.00 158,165 $0.00
Class B Common Stock Series C Convertible Preferred Stock Disposition 2018-07-27 32,048 $0.00 32,048 $0.00
Class A Common Stock Class B Common Stock Acquisiton 2018-07-27 32,048 $0.00 32,048 $0.00
Class B Common Stock Series D Convertible Preferred Stoc Disposition 2018-07-27 8,975 $0.00 8,975 $0.00
Class A Common Stock Class B Common Stock Acquisiton 2018-07-27 8,975 $0.00 8,975 $0.00
Class B Common Stock Series E Convertible Preferred Stock Disposition 2018-07-27 13,288 $0.00 13,288 $0.00
Class A Common Stock Class B Common Stock Acquisiton 2018-07-27 13,288 $0.00 13,288 $0.00
Class B Common Stock Series F Convertible Preferred Stock Disposition 2018-07-27 6,078 $0.00 6,078 $0.00
Class A Common Stock Class B Common Stock Acquisiton 2018-07-27 6,078 $0.00 6,078 $0.00
Class B Common Stock Series G Convertible Preferred Stock Disposition 2018-07-27 12,569 $0.00 12,569 $0.00
Class A Common Stock Class B Common Stock Acquisiton 2018-07-27 12,569 $0.00 12,569 $0.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 No 4 C Indirect
8,423,073 No 4 C Indirect
0 No 4 C Indirect
11,543,598 No 4 C Indirect
0 No 4 C Indirect
12,175,891 No 4 C Indirect
0 No 4 C Indirect
12,352,962 No 4 C Indirect
0 No 4 C Indirect
12,615,126 No 4 C Indirect
0 No 4 C Indirect
12,735,037 No 4 C Indirect
0 No 4 C Indirect
12,983,004 No 4 C Indirect
0 No 4 C Indirect
13,312,540 No 4 C Indirect
0 No 4 C Indirect
426,927 No 4 C Indirect
0 No 4 C Indirect
585,092 No 4 C Indirect
0 No 4 C Indirect
617,140 No 4 C Indirect
0 No 4 C Indirect
626,115 No 4 C Indirect
0 No 4 C Indirect
639,403 No 4 C Indirect
0 No 4 C Indirect
645,481 No 4 C Indirect
0 No 4 C Indirect
658,050 No 4 C Indirect
Footnotes
  1. L. John Doerr and Ann Doerr, Trustees of the Vallejo Ventures Trust.
  2. The shares of Series A Convertible Preferred Stock, Series B Convertible Preferred Stock, Series C Convertible Preferred Stock, Series D Convertible Preferred Stock, Series E Convertible Preferred Stock, Series F Convertible Preferred Stock, and Series G Convertible Preferred Stock automatically converted on a 1-for-1 basis into shares of Class B Common Stock in connection with the closing of the Issuer's initial public offering on July 27, 2018 ("IPO").
  3. The Class B Common Stock is convertible into the Issuer's Class A Common Stock on a 1-for-1 basis (a) at the holder's option; or (b) upon any transfer except certain permitted transfers. All the outstanding shares of Class B Common Stock will convert automatically into shares of Class A common stock upon the date that is the earliest to occur of (i) immediately prior to the close of business on the fifth anniversary of July 27, 2018, (ii) immediately prior to the close of business on the date on which the outstanding shares of Class B Common Stock represent less than five percent (5%) of the aggregate number of shares of Class A Common Stock and Class B Common Stock then outstanding, (iii) the date and time, or the occurrence of an event, specified in a written conversion election delivered by KR Sridhar to the Secretary or Chairman of the Board to so convert all shares of Class B Common Stock, or (iv) immediately following the date of the death of KR Sridhar.
  4. All shares are held for convenience in the name of KPCB Holdings, Inc., as nominee, for the accounts of such individuals and entities who each exercise their own voting and dispositive control over such shares.
  5. KPCB IX Associates, LLC ("KPCB IX Associates"), is the general partner of Kleiner Perkins Caufield & Byers IX-A, L.P. ("KPCB IX-A") and Kleiner Perkins Caufield & Byers IX-B, L.P. ("KPCB IX-B"). KPCB X Associates, LLC ("KPCB X Associates"), is the general partner of Kleiner Perkins Caufield & Byers X-A, L.P. ("KPCB X-A") and Kleiner Perkins Caufield & Byers X-B, L.P. ("KPCB X-B"). Brook Byers, L. John Doerr, Kevin Compton, Doug Mackenzie, Raymond Lane and Theodore Schlein, the managers of KPCB IX Associates, share voting and dispositive control over the shares held by KPCB IX-A and KPCB IX-B. Brook Byers, L. John Doerr, Kevin Compton, Doug Mackenzie, Raymond Lane and Theodore Schlein, the managers of KPCB X Associates, share voting and dispositive control over the shares held by KPCB X-A and KPCB X-B. Each manager of KPCB IX Associates and KPCB X Associates disclaims beneficial ownership of the shares held by KPCB IX-A, KPCB IX-B, KPCB X-A and KPCB X-B.
  6. The principal amount and accrued interest of the 8% Convertible Preferred Notes ("8% Notes") automatically converted into the specified number of shares of Class B Common Stock as a result of the automatic conversion of Issuer's outstanding preferred stock in connection with the Issuer's IPO.
  7. The number of shares reflect both the principal and the interest accrued on the 8% Notes through July 27, 2018, the date of the automatic conversion in connection with the Issuer's IPO.