0001352816-17-000007.txt : 20170824 0001352816-17-000007.hdr.sgml : 20170824 20170824211117 ACCESSION NUMBER: 0001352816-17-000007 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170822 FILED AS OF DATE: 20170824 DATE AS OF CHANGE: 20170824 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: 171050331 MAIL ADDRESS: STREET 1: 2882 SAND HILL ROAD, SUITE 150 CITY: MENLO PARK STATE: CA ZIP: 94025 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Tesla, Inc. CENTRAL INDEX KEY: 0001318605 STANDARD INDUSTRIAL CLASSIFICATION: MOTOR VEHICLES & PASSENGER CAR BODIES [3711] IRS NUMBER: 912197729 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 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 FORMER COMPANY: FORMER CONFORMED NAME: TESLA MOTORS INC DATE OF NAME CHANGE: 20050222 4 1 edgardoc.xml PRIMARY DOCUMENT X0306 4 2017-08-22 0 0001318605 Tesla, 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 Common Stock 2017-08-22 4 M 0 36111 261.89 A 36111 D Common Stock 2017-08-22 4 M 0 8666 250.69 A 44777 D Common Stock 2017-08-22 4 S 0 20118 339.822 D 24659 D Common Stock 2017-08-22 4 S 0 24659 340.803 D 0 D Common Stock 43 I by DFJ Fd X Part LP Common Stock 104200 I by Trust Non-Qualified Stock Option (right to buy) 250.69 2017-08-22 4 M 0 8666 0.0 D 2022-06-12 Common Stock 8666 3334 D Non-Qualified Stock Option (right to buy) 261.89 2017-08-22 4 M 0 36111 0.0 D 2022-06-18 Common Stock 36111 13889 D The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $339.36 to $340.34, inclusive. The reporting person undertakes to provide Tesla, Inc., any security holder of Tesla, Inc. or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $340.43 to $341.34, inclusive. The reporting person undertakes to provide Tesla, Inc., any security holder of Tesla, Inc. or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote. These shares are owned directly by Draper Fisher Jurvetson Fund X Partners, L.P. Mr. Jurvetson is one of several managing directors of the general partner entities of these funds that directly hold shares and as such Mr. Jurvetson may be deemed to have voting and investment power with respect to such shares. Mr. Jurvetson disclaims beneficial ownership with respect to such shares except to the extent of his pecuniary interest therein. These shares are owned directly by the Steve and Karla Jurvetson Living Trust dated August 27, 2002. Pursuant to the issuer's Outside Director Compensation Policy, these equity awards were granted to the reporting person in connection with his service on a committee of the issuer's Board of Directors. 1/36th of the shares granted shall become vested and exercisable as of each monthly anniversary from June 12, 2015, such that all shares subject to the Option shall be fully vested and exercisable by June 12, 2018. This stock option award is a triennial equity award granted pursuant to the Company's 2010 Equity Incentive Plan and Outside Director Compensation Policy. 1/36th of the shares granted shall become vested and exercisable as of each anniversary from June 18, 2015, such that all shares subject to the Option shall be fully vested and exercisable by June 18, 2018. By: Jonathan Chang, Power of Attorney For: Stephen T Jurvetson 2017-08-24