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