0001494806-11-000019.txt : 20111130 0001494806-11-000019.hdr.sgml : 20111130 20111130202306 ACCESSION NUMBER: 0001494806-11-000019 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111129 FILED AS OF DATE: 20111130 DATE AS OF CHANGE: 20111130 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Passin Gilbert CENTRAL INDEX KEY: 0001494806 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34756 FILM NUMBER: 111235265 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 2011-11-29 0 0001318605 TESLA MOTORS INC TSLA 0001494806 Passin Gilbert 3500 DEER CREEK ROAD PALO ALTO CA 94304 0 1 0 0 VP- Manufacturing Common Stock 2011-11-29 4 M 0 600 9.96 A 800 D Common Stock 2011-11-29 4 S 0 600 32.49 D 200 D Incentive Stock Option (right to buy) 9.96 2011-11-29 4 M 0 600 0 D 2017-03-02 Common Stock 600 29409 D The sales reported on this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on December 15, 2010. 1/4th of the shares subject to the option became vested and exercisable on January 25, 2011 and 1/48th of the shares subject to the option shall vest and become exercisable each month thereafter. /s/ Gilbert Passin 2011-11-30