-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, FxJ6s1A5GR9L9FDM7O35Ijv+VlEUx6F2CF4HsAfi4LyAfe8nksyOYr5/49NxR1jx dz3PrUVgnFmTiyyYj728TA== 0001181431-10-034763.txt : 20100625 0001181431-10-034763.hdr.sgml : 20100625 20100625155727 ACCESSION NUMBER: 0001181431-10-034763 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20100628 FILED AS OF DATE: 20100625 DATE AS OF CHANGE: 20100625 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Straubel Jeffrey B CENTRAL INDEX KEY: 0001494727 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34756 FILM NUMBER: 10917654 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 MOTORS INC CENTRAL INDEX KEY: 0001318605 STANDARD INDUSTRIAL CLASSIFICATION: MOTOR VEHICLES & PASSENGER CAR BODIES [3711] IRS NUMBER: 912197729 STATE OF INCORPORATION: DE BUSINESS ADDRESS: STREET 1: 1050 BING STREET CITY: SAN CARLOS STATE: CA ZIP: 94070 BUSINESS PHONE: 650-413-6222 MAIL ADDRESS: STREET 1: 1050 BING STREET CITY: SAN CARLOS STATE: CA ZIP: 94070 3 1 rrd279898.xml FORM 3 X0203 3 2010-06-28 0 0001318605 TESLA MOTORS INC TSLA 0001494727 Straubel Jeffrey B C/O TESLA MOTORS, INC. 3500 DEER CREEK ROAD PALO ALTO CA 94304 0 1 0 0 Chief Technology Officer Common Stock 255249 D Series B Preferred Stock Common Stock 54054 D Series C Preferred Stock Common Stock 17621 D Right to Buy (Common Stock) 0.36 2007-05-31 2013-05-30 Common Stock 10416 D Right to Buy (Common Stock) 2.10 2007-05-31 2014-11-08 Common Stock 9334 D Right to Buy (Common Stock) 2.70 2008-06-07 2015-06-03 Common Stock 33333 D Right to Buy (Common Stock) 2.70 2009-05-13 2016-04-12 Common Stock 107916 D Right to Buy (Common Stock) 6.63 2009-09-16 2016-12-03 Common Stock 117083 D Right to Buy (Common Stock) 14.17 2017-06-11 Common Stock 116650 D Right to Buy (Common Stock) 14.17 2010-07-03 2017-06-11 Common Stock 2450 D Each share of the Issuer's Series B preferred stock will automatically convert into .333333 of a share of common stock upon the closing the Issuer's initial public offering, and has no expiration date. Each share of the Issuer's Series C preferred stock will automatically convert into .350013 of a share of common stock upon the closing the Issuer's initial public offering, and has no expiration date. 1/4th of the shares subject to the option became vested and exercisable on May 31, 2007 and 1/48th of the shares subject to the option shall become vested and exercisable each month thereafter. 1/48th of the shares subject to the option became vested and exercisable on May 31, 2007 and 1/48th of the shares subject to the option shall become vested and exercisable each month thereafter. 1/48th of the shares subject to the option became vested and exercisable on June 7, 2008 and 1/48th of the shares subject to the option shall become vested and exercisable each month thereafter. 1/48th of the shares subject to the option became vested and exercisable on May 13, 2009 and 1/48th of the shares subject to the option shall become vested and exercisable each month thereafter. 1/48th of the shares subject to the option became vested and exercisable on September 16, 2009 and 1/48th of the shares subject to the option shall become vested and exercisable each month thereafter. Shares subject to the option become vested and exercisable upon the Issuer's achievement of certain performance objectives set forth in the option agreement. 1/48th of the shares subject to the option become vested and exercisable on July 3, 2010 and 1/48th of the shares subject to the option shall become vested and exercisable each month thereafter. The anticipated effective date of Issuer's initial public offering is June 28, 2010. /s/ Jeffrey B. Straubel 2010-06-25 -----END PRIVACY-ENHANCED MESSAGE-----