0001494731-11-000016.txt : 20111107 0001494731-11-000016.hdr.sgml : 20111107 20111107140920 ACCESSION NUMBER: 0001494731-11-000016 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111103 FILED AS OF DATE: 20111107 DATE AS OF CHANGE: 20111107 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Musk Kimbal CENTRAL INDEX KEY: 0001494731 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34756 FILM NUMBER: 111184026 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: 3500 DEER CREEK RD CITY: PALO ALTO STATE: CA ZIP: 94070 BUSINESS PHONE: 650-681-5000 MAIL ADDRESS: STREET 1: 3500 DEER CREEK RD CITY: PALO ALTO STATE: CA ZIP: 94070 4 1 edgardoc.xml PRIMARY DOCUMENT X0304 4 2011-11-03 0 0001318605 TESLA MOTORS INC TSLA 0001494731 Musk Kimbal 3500 DEER CREEK ROAD PALO ALTO CA 94304 1 0 0 0 Common Stock 2011-11-03 4 S 0 3333 30 D 354367 I See Footnote Common Stock 3992 D The sales reported on this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by Jasper Holdings LLC on December 15, 2010. Jasper Holdings LLC is owned by the reporting person and his spouse. The shares are directly held by Jasper Holdings LLC. By: /s/ Eric Whitaker, by Power of Attorney For: /s/ Kimbal Musk 2011-11-07