0000899243-22-006240.txt : 20220214 0000899243-22-006240.hdr.sgml : 20220214 20220214182100 ACCESSION NUMBER: 0000899243-22-006240 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211231 FILED AS OF DATE: 20220214 DATE AS OF CHANGE: 20220214 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Musk Elon CENTRAL INDEX KEY: 0001494730 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34756 FILM NUMBER: 22635768 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 5 1 doc5.xml FORM 5 SUBMISSION X0306 5 2021-12-31 0 0 0 0001318605 Tesla, Inc. TSLA 0001494730 Musk Elon C/O TESLA, INC. 13101 TESLA ROAD AUSTIN TX 78725 1 1 1 0 CEO Common Stock 2021-11-19 5 G 0 2234000 0.00 D 175418251 I By Trust Common Stock 2021-11-22 5 G 0 1560000 0.00 D 173858251 I By Trust Common Stock 2021-11-23 5 G 0 500000 0.00 D 173358251 I By Trust Common Stock 2021-11-24 5 G 0 500000 0.00 D 172858251 I By Trust Common Stock 2021-11-29 5 G 0 250000 0.00 D 172608251 I By Trust Represents a bona fide gift of the Issuer's common stock by the Reporting Person to charity By: Aaron Beckman by Power of Attorney For: Elon Musk 2022-02-14