0001045810-21-000156.txt : 20210917 0001045810-21-000156.hdr.sgml : 20210917 20210917160312 ACCESSION NUMBER: 0001045810-21-000156 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210915 FILED AS OF DATE: 20210917 DATE AS OF CHANGE: 20210917 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Teter Tim CENTRAL INDEX KEY: 0001696841 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23985 FILM NUMBER: 211260385 MAIL ADDRESS: STREET 1: 572 ELEANOR DRIVE CITY: WOODSIDE STATE: CA ZIP: 94062 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: NVIDIA CORP CENTRAL INDEX KEY: 0001045810 STANDARD INDUSTRIAL CLASSIFICATION: SEMICONDUCTORS & RELATED DEVICES [3674] IRS NUMBER: 943177549 STATE OF INCORPORATION: DE FISCAL YEAR END: 0130 BUSINESS ADDRESS: STREET 1: 2788 SAN TOMAS EXPRESSWAY CITY: SANTA CLARA STATE: CA ZIP: 95051 BUSINESS PHONE: 408-486-2000 MAIL ADDRESS: STREET 1: 2788 SAN TOMAS EXPRESSWAY CITY: SANTA CLARA STATE: CA ZIP: 95051 FORMER COMPANY: FORMER CONFORMED NAME: NVIDIA CORP/DE DATE OF NAME CHANGE: 20020612 FORMER COMPANY: FORMER CONFORMED NAME: NVIDIA CORP/CA DATE OF NAME CHANGE: 19980303 4 1 wf-form4_163190896358868.xml FORM 4 X0306 4 2021-09-15 0 0001045810 NVIDIA CORP NVDA 0001696841 Teter Tim C/O NVIDIA CORPORATION 2788 SAN TOMAS EXPRESSWAY SANTA CLARA CA 95051 0 1 0 0 EVP, General Counsel and Sec Common Stock 2021-09-15 4 F 0 6300 223.41 D 114008 D Common 138436 I The Horne Teter Family Living Trust, dated February 1, 2019 Represents shares of the Issuer's common stock withheld by the Issuer to satisfy taxes due by the Reporting Person in connection with the vesting of restricted stock units previously reported on a Form 4, as adjusted to give effect to a four-for-one forward split of the Issuer's common stock in the form of a stock dividend distributed on July 19, 2021 (the "stock split"). Includes 11,664 shares issued upon the vesting of restricted stock units previously reported on a Form 4, as adjusted to give effect to the stock split. Adjusted to give effect to the stock split. Shares held by The Horne Teter Family Living Trust, dated 02/01/2019 (the "Trust"), of which the Reporting Person is trustee. /s/ Rebecca Peters, Attorney-in-Fact for Tim Teter 2021-09-17