-----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, CRPuQplARvVgUYNwC16nAxpVY5QkJL9irTii8vYazJHnuEIM3WzH/tgZmAH3TqwA GhTFr5RXo+MX188oT9920Q== 0001181431-10-035870.txt : 20100702 0001181431-10-035870.hdr.sgml : 20100702 20100702143814 ACCESSION NUMBER: 0001181431-10-035870 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: Al Darmaki H.E. Ahmed Saif CENTRAL INDEX KEY: 0001495205 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34756 FILM NUMBER: 10935584 MAIL ADDRESS: STREET 1: 7TH FLR ADWEA BLDG. STREET 2: 6TH STREET CITY: ABU DHABI STATE: C0 ZIP: UAE 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 rrd280649.xml FORM 4 X0303 4 2010-07-02 0 0001318605 TESLA MOTORS INC TSLA 0001495205 Al Darmaki H.E. Ahmed Saif 7TH FLR., ADWEA BUILDING, 6TH STREET ABU DHABI C0 UNITED ARAB EMIRATES 1 0 0 0 Common Stock 2010-07-02 2010-07-02 4 C 0 7297139 A 7297139 I See Footnote Series F Preferred Stock 2010-07-02 2010-07-02 4 C 0 21891419 0.00 D Common Stock 7297139 0 I See Footnote Each share of the Issuer's Series F 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. These shares are owned directly by Al Wahada Capital Investment LLC, a wholly owned affiliate of Abu Dhabi Water and Electric Authority. The reporting person disclaims beneficial ownership of these shares, except to the extent of his pecuniary interest therein and 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. /s/ Ahmed Saif Al Darmaki 2010-07-02 -----END PRIVACY-ENHANCED MESSAGE-----