-----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, LQ+a8PLAr5N17/4Lwx+m4wZ2D7y5oua4ZgsIIOoNTZ75SUPxOBQ2P0QK0jGndFe9 xwlQoKGMt5EzjlUOL/s5BA== 0001181431-10-035869.txt : 20100702 0001181431-10-035869.hdr.sgml : 20100702 20100702143728 ACCESSION NUMBER: 0001181431-10-035869 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20100702 FILED AS OF DATE: 20100702 DATE AS OF CHANGE: 20100702 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Gracias Antonio J. CENTRAL INDEX KEY: 0001495158 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34756 FILM NUMBER: 10935576 MAIL ADDRESS: STREET 1: C/O VALOR EQUITY PARTNERS STREET 2: 200 SOUTH MICHIGAN AVENUE, SUITE 1020 CITY: CHICAGO STATE: IL ZIP: 60604 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 4 1 rrd280651.xml FORM 4 X0303 4 2010-07-02 0 0001318605 TESLA MOTORS INC TSLA 0001495158 Gracias Antonio J. C/O VALOR EQUITY PARTNERS 200 SOUTH MICHIGAN AVE., SUITE 1020 CHICAGO IL 60604 1 0 0 0 Common Stock 2010-07-02 2010-07-02 4 C 0 1992447 A 1992447 I See Footnotes Common Stock 2010-07-02 2010-07-02 4 C 0 136351 A 136351 I See Footnotes Common Stock 2010-07-02 2010-07-02 4 C 0 2756881 A 2756881 I See Footnotes Series B Preferred Stock 2010-07-02 2010-07-02 4 C 0 2702702 0.00 D Common Stock 900900 0 I See Footnotes Series C Preferred Stock 2010-07-02 2010-07-02 4 C 0 1057268 0.00 D Common Stock 370057 0 I See Footnotes Series D Preferred Stock 2010-07-02 2010-07-02 4 C 0 1229363 0.00 D Common Stock 409787 0 I See Footnotes Series E Preferred Stock 2010-07-02 2010-07-02 4 C 0 9614808 0.00 D Common Stock 3204935 0 I See Footnotes Each share of Issuer's Series B preferred stock, Series D preferred stock and Series E preferred stock automatically converted to .333333 of a share common stock upon the closing of the Issuer's initial public offering and has no expiration date. Each share of Issuer's Series C preferred stock automatically converted into .350013 of a share of common stock upon the closing the Issuer's initial public offering, and has no expiration date. These shares are owned directly by Valor Equity Partners, L.P. ("VEP I"). These shares are owned directly by Valor VC LLC ("VC"). These shares are owned directly by VEP Tesla Holdings LLC ("VEP"). VEP and VEP I are advised directly and/or indirectly by Valor Management Corp. which may be deemed to be the beneficial owners of the shares held directly by VEP and VEP I. Valor Management Corp. disclaims beneficial ownership of any shares held directly by VEP and VEP I. The reporting person is a shareholder and director of Valor Management Corp. and a managing member of VC, and may be deemed the beneficial owner of the shares held directly by VEP, VEP I and VC. The reporting person disclaims beneficial ownership of any shares held directly by VEP, VEP I and VC, except to the extent of his pecuniary interest therein. This report shall not be deemed an admission that the reporting person is the beneficiary owner of such securities for Section 16 or any other purpose. 308,381 of these shares are owned directly by VEP I and 61,676 shares are owned directly by VC. 2,756,881 shares are owned directly by VEP, 373,379 shares are owned directly by VEP I and 74,675 shares are owned directly by VC. /s/ Antonio J. Gracias 2010-07-02 -----END PRIVACY-ENHANCED MESSAGE-----