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