0001584518-20-000013.txt : 20201021 0001584518-20-000013.hdr.sgml : 20201021 20201021212913 ACCESSION NUMBER: 0001584518-20-000013 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201019 FILED AS OF DATE: 20201021 DATE AS OF CHANGE: 20201021 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: 201251483 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 2020-10-19 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 Non-Qualified Stock Option (right to buy) 430.83 2020-10-19 4 A 0 205459 0.0 A 2030-10-19 Common Stock 205459 205459 D 1/48th of the shares subject to the option shall became vested and exercisable on December 5, 2020, and 1/48th of the shares subject to the option shall become vested and exercisable each month thereafter, so that all such shares subject to this option will be fully vested on November 5, 2024. By: Aaron Beckman, Power of Attorney For: Jerome M. Guillen 2020-10-21