0001288257-11-000018.txt : 20110615 0001288257-11-000018.hdr.sgml : 20110615 20110615202320 ACCESSION NUMBER: 0001288257-11-000018 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110613 FILED AS OF DATE: 20110615 DATE AS OF CHANGE: 20110615 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Jurvetson Stephen T CENTRAL INDEX KEY: 0001314917 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34756 FILM NUMBER: 11913926 MAIL ADDRESS: STREET 1: 2882 SAND HILL ROAD, SUITE 150 CITY: MENLO PARK STATE: CA ZIP: 94025 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: TESLA MOTORS INC CENTRAL INDEX KEY: 0001318605 STANDARD INDUSTRIAL CLASSIFICATION: MOTOR VEHICLES & PASSENGER CAR BODIES [3711] IRS NUMBER: 912197729 STATE OF INCORPORATION: DE BUSINESS ADDRESS: STREET 1: 3500 DEER CREEK RD CITY: PALO ALTO STATE: CA ZIP: 94070 BUSINESS PHONE: 650-681-5000 MAIL ADDRESS: STREET 1: 3500 DEER CREEK RD CITY: PALO ALTO STATE: CA ZIP: 94070 4 1 primary_doc.xml PRIMARY DOCUMENT X0303 4 2011-06-13 0 0001318605 TESLA MOTORS INC TSLA 0001314917 Jurvetson Stephen T C/O DRAPER FISHER JURVETSON 2882 SAND HILL ROAD, SUITE 150 MENLO PARK CA 94025 1 0 0 0 Non-qualified stock option (right to buy) 28.43 2011-06-13 2011-06-13 4 A 0 16666 0 A 2018-06-12 Common Stock 16666 16666 D Non-qualified stock option (right to buy) 28.43 2011-06-15 2011-06-15 4 J 0 16666 0 D 2018-06-12 Common Stock 16666 0 D Non-qualified stock option (right to buy) 28.43 2011-06-15 2011-06-15 4 J 0 16666 0 A 2018-06-12 Common Stock 16666 16666 I By affiliate 100% of the shares subject to the option shall vest and become exercisable on the earlier of the first anniversary date of the grant or the day prior to the date of the next annual meeting of stockholders of the Company following the date of grant. The reported stock option was originally granted to the reporting person on June 13, 2011. On June 15, 2011, the reporting person transferred the stock option to Draper Fisher Jurvetson Fund VIII Management Company, LLC. The reporting person is a managing member of Draper Fisher Jurvetson Fund VIII Management Company, LLC and disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein. This report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for Section 16 or any other purposes. Stephen Jurvetson 2011-06-15