0001584518-19-000009.txt : 20191105 0001584518-19-000009.hdr.sgml : 20191105 20191105210132 ACCESSION NUMBER: 0001584518-19-000009 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20191101 FILED AS OF DATE: 20191105 DATE AS OF CHANGE: 20191105 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Guillen Jerome M CENTRAL INDEX KEY: 0001584518 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34756 FILM NUMBER: 191194865 MAIL ADDRESS: STREET 1: 3500 DEER CREEK RD. CITY: PALO ALTO STATE: CA ZIP: 94304 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Tesla, Inc. CENTRAL INDEX KEY: 0001318605 STANDARD INDUSTRIAL CLASSIFICATION: MOTOR VEHICLES & PASSENGER CAR BODIES [3711] IRS NUMBER: 912197729 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3500 DEER CREEK RD CITY: PALO ALTO STATE: CA ZIP: 94304 BUSINESS PHONE: 650-681-5000 MAIL ADDRESS: STREET 1: 3500 DEER CREEK RD CITY: PALO ALTO STATE: CA ZIP: 94304 FORMER COMPANY: FORMER CONFORMED NAME: TESLA MOTORS INC DATE OF NAME CHANGE: 20050222 4 1 edgardoc.xml PRIMARY DOCUMENT X0306 4 2019-11-01 0 0001318605 Tesla, Inc. TSLA 0001584518 Guillen Jerome M C/O TESLA, INC. 3500 DEER CREEK ROAD PALO ALTO CA 94304 0 1 0 0 President, Automotive Common Stock 2019-11-01 4 M 0 2000 139.34 A 10973 D Common Stock 2019-11-01 4 S 0 2000 316.32 D 8973 D Non-Qualified Stock Option (right to buy) 139.34 2019-11-01 4 M 0 2000 0.0 D 2024-01-13 Common Stock 2000 22250 D The sales reported on this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on February 15, 2019. 1/4th of the shares subject to the option vested and became exercisable on each of October 6, 2015, May 15, 2017, and July 30, 2017, and the remainder of the shares subject to the option shall become vested and exercisable upon achievement of a certain performance milestone specified in the option agreement. By: Aaron Beckman, Power of Attorney For: Jerome M. Guillen 2019-11-05