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