0000899243-23-008179.txt : 20230310 0000899243-23-008179.hdr.sgml : 20230310 20230310192501 ACCESSION NUMBER: 0000899243-23-008179 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230308 FILED AS OF DATE: 20230310 DATE AS OF CHANGE: 20230310 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: 23725298 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 2023-03-08 0 0001318605 Tesla, Inc. TSLA 0001494730 Musk Elon C/O TESLA, INC. 1 TESLA ROAD AUSTIN TX 78725 1 1 1 0 CEO Common Stock 2023-03-08 4 M 0 5250 2.79 A 411056826 I by Trust Common Stock 2023-03-08 4 M 0 5250 6.67 A 411062076 I by Trust Non-Qualifed Stock Option (right to buy) 2.79 2023-03-08 4 M 0 5250 0.00 D 2023-04-08 Common Stock 5250 0 D Non-Qualifed Stock Option (right to buy) 6.67 2023-03-08 4 M 0 5250 0.00 D 2023-06-10 Common Stock 5250 0 D The Elon Musk Revocable Trust dated July 22, 2003, for which the reporting person is the trustee. Effective April 8, 2013, the Reporting Person was granted an option to purchase 5,250 shares of common stock, as adjusted to give effect to a five-for-one forward split of the Issuer's common stock in the form of a stock dividend distributed on August 28, 2020, and a three-for-one forward split of the Issuer's common stock in the form of a stock dividend distributed on August 24, 2022. The option award was granted as part of Tesla, Inc's company-wide patent incentive program, and the total number of shares subject to the option was vested and exercisable on the grant date of the option. Effective June 10, 2013, the Reporting Person was granted an option to purchase 5,250 shares of common stock, as adjusted to give effect to a five-for-one forward split of the Issuer's common stock in the form of a stock dividend distributed on August 28, 2020, and a three-for-one forward split of the Issuer's common stock in the form of a stock dividend distributed on August 24, 2022. The option award was granted as part of Tesla, Inc's company-wide patent incentive program, and the total number of shares subject to the option was vested and exercisable on the grant date of the option. By: Aaron Beckman by Power of Attorney For: Elon Musk 2023-03-10