0000899243-21-049993.txt : 20211228 0000899243-21-049993.hdr.sgml : 20211228 20211228204831 ACCESSION NUMBER: 0000899243-21-049993 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211228 FILED AS OF DATE: 20211228 DATE AS OF CHANGE: 20211228 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Musk Elon CENTRAL INDEX KEY: 0001494730 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34756 FILM NUMBER: 211526008 MAIL ADDRESS: STREET 1: C/O TESLA MOTORS, INC. STREET 2: 3500 DEER CREEK ROAD CITY: PALO ALTO STATE: CA ZIP: 94304 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: 94304 BUSINESS PHONE: 650-681-5000 MAIL ADDRESS: STREET 1: 3500 DEER CREEK RD CITY: PALO ALTO STATE: CA ZIP: 94304 FORMER COMPANY: FORMER CONFORMED NAME: TESLA MOTORS INC DATE OF NAME CHANGE: 20050222 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-12-28 0 0001318605 Tesla, Inc. TSLA 0001494730 Musk Elon C/O TESLA, INC. 13101 HAROLD GREEN ROAD AUSTIN TX 78725 1 1 1 0 CEO Common Stock 2021-12-28 4 S 0 500 1109.31 D 630241 D Common Stock 2021-12-28 4 S 0 2008 1110.95 D 628233 D Common Stock 2021-12-28 4 S 0 2600 1112.135 D 625633 D Common Stock 2021-12-28 4 S 0 3947 1115.081 D 621686 D Common Stock 2021-12-28 4 S 0 900 1116.15 D 620786 D Common Stock 2021-12-28 4 S 0 700 1117.92 D 620086 D Common Stock 177032165 I by Trust THE TRANSACTIONS REPORTED ON THIS FORM 4 WERE AUTOMATICALLY EFFECTED PURSUANT TO A RULE 10B5-1 TRADING PLAN PREVIOUSLY ADOPTED ON SEPTEMBER 14, 2021 AND ESTABLISHED BY THE REPORTING PERSON FOR THE PURPOSE OF AN ORDERLY SALE OF SHARES RELATED TO THE EXERCISES OF OPTIONS SCHEDULED TO EXPIRE IN 2022. THIS RULE 10B5-1 TRADING PLAN WAS COMPLETED ON DECEMBER 28, 2021. The shares of common stock were sold solely to satisfy the reporting person's tax withholding obligations related to the exercise of stock options to purchase 1,554,176 shares as reported herein. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $1,112.040 to $1,112.450, 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 $1,115.040 to $1,115.740, 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 Elon Musk Revocable Trust dated July 22, 2003, for which the reporting person is trustee. This Form 4 is the second of two Form 4s being filed by the Reporting Person relating to the same event. The Form 4 has been split into two filings to cover all 36 individual transactions that occurred on the same Transaction Date, because the SEC's EDGAR filing system limits a single Form 4 to a maximum of 30 separate transactions. Each Form 4 will be filed by the Reporting Person. By: Aaron Beckman by Power of Attorney For: Elon Musk 2021-12-28