0001494806-12-000002.txt : 20120215 0001494806-12-000002.hdr.sgml : 20120215 20120215193528 ACCESSION NUMBER: 0001494806-12-000002 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20120213 FILED AS OF DATE: 20120215 DATE AS OF CHANGE: 20120215 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: 12617326 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 2012-02-13 0 0001318605 TESLA MOTORS INC TSLA 0001494806 Passin Gilbert 3500 DEER CREEK ROAD PALO ALTO CA 94304 0 1 0 0 VP- Manufacturing Incentive Stock Option (right to buy) 31.49 2012-02-13 4 A 0 3587 0 A 2022-02-13 Common Stock 3587 3587 D Non-Qualified Stock Option (right to buy) 31.49 2012-02-13 4 A 0 26413 0 A 2022-02-13 Common Stock 26413 26413 D 1/48th of the shares subject to the option will vest on each monthly anniversary of the grant date, so that all such shares will be vested as of the fourth anniversary of the grant date. By: /s/ Deepak Ahuja as Power of Attorney For: Gilbert Passin 2012-02-15 EX-24 2 passin_poa.txt EDGAR SUPPORTING DOCUMENT Power of Attorney _________________ The undersigned, as an officer or director of Tesla Motors, Inc. (the "Company"),hereby constitutes and appoints Deepak Ahuja, Eric Whitaker, and each of them, the undersigned s true and lawful attorney in fact and agent to complete and execute such Forms 144, Forms 3, 4 and 5 and other forms as such attorney shall in his discretion determine to be required or advisable pursuant to Rule 144 promulgated under the Securities Act of 1933 (as amended), Section 16 of the Securities Exchange Act of 1934 (as amended) and the rules and regulations promulgated thereunder, or any successor laws and regulations, as a consequence of the undersigned s ownership, acquisition or disposition of securities of the Company, and to do all acts necessary in order to file such forms with the Securities and Exchange Commission, any securities exchange or national association, the Company and such other person or agency as the attorney shall deem appropriate. The undersigned hereby ratifies and confirms all that said attorneys in fact and agents shall do or cause to be done by virtue hereof. This Limited Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms 3, 4 and 5 with respect to the undersigned s holdings of and transactions in securities issued by the Company unless earlier revoked by the undersigned in a writing delivered to the foregoing attorneys in fact. This Limited Power of Attorney is executed at Palo Alto, California, as of the date set forth below. DATED: 9/15/2011 /s/ Gilbert Passin _______________________ By: Gilbert Passin