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KPCB X ASSOCIATES LLC 4

Accession 0001104659-19-066771

CIK 0001664703other

Filed

Nov 21, 7:00 PM ET

Accepted

Nov 22, 9:57 PM ET

Size

24.9 KB

Accession

0001104659-19-066771

Insider Transaction Report

Form 4
Period: 2019-11-20
Transactions
  • Conversion

    Class B Common Stock

    2019-11-20500,0007,987,293 total(indirect: See footnote)
    Class A Common Stock (500,000 underlying)
  • Conversion

    6% Convertible Note

    2019-11-20616,302616,302 total(indirect: See footnote)
    Class B Common Stock (616,302 underlying)
  • Conversion

    Class B Common Stock

    2019-11-20+616,3028,603,595 total(indirect: See footnote)
    Class A Common Stock (616,302 underlying)
  • Conversion

    Class A Common Stock

    2019-11-20+500,0006,000,000 total(indirect: See footnote)
Transactions
  • Conversion

    Class A Common Stock

    2019-11-20+500,0006,000,000 total(indirect: See footnote)
  • Conversion

    Class B Common Stock

    2019-11-20500,0007,987,293 total(indirect: See footnote)
    Class A Common Stock (500,000 underlying)
  • Conversion

    Class B Common Stock

    2019-11-20+616,3028,603,595 total(indirect: See footnote)
    Class A Common Stock (616,302 underlying)
  • Conversion

    6% Convertible Note

    2019-11-20616,302616,302 total(indirect: See footnote)
    Class B Common Stock (616,302 underlying)
Transactions
  • Conversion

    Class B Common Stock

    2019-11-20500,0007,987,293 total(indirect: See footnote)
    Class A Common Stock (500,000 underlying)
  • Conversion

    Class A Common Stock

    2019-11-20+500,0006,000,000 total(indirect: See footnote)
  • Conversion

    6% Convertible Note

    2019-11-20616,302616,302 total(indirect: See footnote)
    Class B Common Stock (616,302 underlying)
  • Conversion

    Class B Common Stock

    2019-11-20+616,3028,603,595 total(indirect: See footnote)
    Class A Common Stock (616,302 underlying)
Transactions
  • Conversion

    Class A Common Stock

    2019-11-20+500,0006,000,000 total(indirect: See footnote)
  • Conversion

    Class B Common Stock

    2019-11-20500,0007,987,293 total(indirect: See footnote)
    Class A Common Stock (500,000 underlying)
  • Conversion

    Class B Common Stock

    2019-11-20+616,3028,603,595 total(indirect: See footnote)
    Class A Common Stock (616,302 underlying)
  • Conversion

    6% Convertible Note

    2019-11-20616,302616,302 total(indirect: See footnote)
    Class B Common Stock (616,302 underlying)
Transactions
  • Conversion

    Class B Common Stock

    2019-11-20+616,3028,603,595 total(indirect: See footnote)
    Class A Common Stock (616,302 underlying)
  • Conversion

    Class A Common Stock

    2019-11-20+500,0006,000,000 total(indirect: See footnote)
  • Conversion

    6% Convertible Note

    2019-11-20616,302616,302 total(indirect: See footnote)
    Class B Common Stock (616,302 underlying)
  • Conversion

    Class B Common Stock

    2019-11-20500,0007,987,293 total(indirect: See footnote)
    Class A Common Stock (500,000 underlying)
Transactions
  • Conversion

    Class B Common Stock

    2019-11-20500,0007,987,293 total(indirect: See footnote)
    Class A Common Stock (500,000 underlying)
  • Conversion

    6% Convertible Note

    2019-11-20616,302616,302 total(indirect: See footnote)
    Class B Common Stock (616,302 underlying)
  • Conversion

    Class B Common Stock

    2019-11-20+616,3028,603,595 total(indirect: See footnote)
    Class A Common Stock (616,302 underlying)
  • Conversion

    Class A Common Stock

    2019-11-20+500,0006,000,000 total(indirect: See footnote)
Footnotes (9)
  • [F1]Conversion of a derivative security in accordance with its terms.
  • [F2]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.
  • [F3]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.
  • [F4]Consists of (a) 4,910,463 shares of Class A Common Stock held by KPCB IX-A; (b) 158,358 shares of Class A Common Stock held by KPCB IX-B; and (c) 931,179 shares of Class A Common Stock held by individuals and entities associated with Kleiner Perkins Caufield & Byers.
  • [F5]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.
  • [F6]Consists of (a) 450,981 shares of Class B Common Stock held by KPCB IX-A; (b) 9,489 shares of Class B Common Stock held by KPCB IX-B; (c) 4,785,752 shares of Class B Common Stock held by KPCB X-A; (d) 134,977 shares of Class B Common Stock held by KPCB X-B; and (e) 2,606,094 shares of Class B Common Stock held by individuals and entities associated with Kleiner Perkins Caufield & Byers, including 674,749 shares of Class B Common Stock held by L. John and Ann Doerr, Trustees of the Vallejo Ventures Trust.
  • [F7]The outstanding principal and accrued interest on the 6% Convertible Notes ("6% Notes") will be convertible at any time at the option of the holders thereof into shares of Issuer's Class B Common Stock.
  • [F8]Consists of (a) 421,735 shares of Class B Common Stock issuable upon conversion of the 6% Notes held by KPCB X-A; (d) 11,895 shares of Class B Common Stock issuable upon conversion of the 6% Notes held by KPCB X-B; and (e) 182,672 shares of Class B Common Stock issuable upon conversion of the 6% Notes held by individuals and entities associated with Kleiner Perkins Caufield & Byers.
  • [F9]Consists of (a) 1,005,511 shares of Class B Common Stock held by KPCB IX-A; (b) 24,280 shares of Class B Common Stock held by KPCB IX-B; (c) 4,785,752 shares of Class B Common Stock held by KPCB X-A; (d) 134,977 shares of Class B Common Stock held by KPCB X-B; and (e) 2,653,075 shares of Class B Common Stock held by individuals and entities associated with Kleiner Perkins Caufield & Byers, including 721,730 shares of Class B Common Stock held by L. John and Ann Doerr, Trustees of the Vallejo Ventures Trust.

Issuer

Bloom Energy Corp

CIK 0001664703

Entity typeother
IncorporatedCA

Related Parties

1
  • filerCIK 0001242712

Filing Metadata

Form type
4
Filed
Nov 21, 7:00 PM ET
Accepted
Nov 22, 9:57 PM ET
Size
24.9 KB