0001650649-17-000008.txt : 20170608 0001650649-17-000008.hdr.sgml : 20170608 20170608204918 ACCESSION NUMBER: 0001650649-17-000008 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20170605 FILED AS OF DATE: 20170608 DATE AS OF CHANGE: 20170608 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: 94070 BUSINESS PHONE: 650-681-5000 MAIL ADDRESS: STREET 1: 3500 DEER CREEK RD CITY: PALO ALTO STATE: CA ZIP: 94070 FORMER COMPANY: FORMER CONFORMED NAME: TESLA MOTORS INC DATE OF NAME CHANGE: 20050222 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FIELD JOHN DOUGLAS CENTRAL INDEX KEY: 0001650649 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34756 FILM NUMBER: 17901387 MAIL ADDRESS: STREET 1: 3500 DEER CREEK ROAD CITY: PALO ALTO STATE: CA ZIP: 94304 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2017-06-05 0 0001318605 Tesla, Inc. TSLA 0001650649 FIELD JOHN DOUGLAS C/O TESLA, INC. 3500 DEER CREEK ROAD PALO ALTO CA 94304 0 1 0 0 Senior VP, Engineering Common Stock 2017-06-05 4 M 0 189 0 A 17188 D Common Stock 2017-06-05 4 M 0 563 0 A 17751 D Common Stock 2017-06-05 4 M 0 3593 0 A 21344 D Common Stock 2017-06-05 4 M 0 530 0 A 21874 D Common Stock 2017-06-06 4 F 0 1890 344.708 D 19984 D Common Stock 2017-06-06 4 F 0 297 344.705 D 19687 D Common Stock 2017-06-06 4 F 0 279 344.711 D 19408 D Common Stock 2017-06-06 4 F 0 100 344.7 D 19308 D Restricted Stock Unit 0 2017-06-05 4 M 0 189 0 D Common Stock 189 1889 D Restricted Stock Unit 0 2017-06-05 4 M 0 563 0 D Common Stock 563 4503 D Restricted Stock Unit 0 2017-06-05 4 M 0 3593 0 D Common Stock 3593 3592 D Restricted Stock Unit 0 2017-06-05 4 M 0 530 0 D Common Stock 530 6360 D Shares of the Issuer's common stock were issued to the reporting person upon the vesting of restricted stock units on June 5, 2017. PURSUANT TO THE ISSUER'S EQUITY PLAN AND POLICIES, THESE SHARES OF COMMON STOCK WERE AUTOMATICALLY WITHHELD AND SOLD BY THE ISSUER TO SATISFY THE REPORTING PERSON'S TAX WITHHOLDING OBLIGATIONS RELATED TO THE VESTING OF RESTRICTED STOCK UNITS REPORTED HEREIN. 2,834 of the restricted units included in this grant commenced vesting in fifteen equal quarterly installments beginning June 5, 2016. 7,318 of the restricted units included in this grant commenced vesting in thirteen equal quarterly installments beginning June 5, 2016. 21,555 of the restricted units included in this grant commenced vesting in six equal quarterly installments beginning June 5, 2016. 1,060 of the restricted units included in this grant vested on December 5, 2016 and the remaining 7,420 will commence vesting in fourteen equal quarterly installments beginning March 5, 2017. Aaron Beckman, Power of Attorney for John Douglas Field 2017-06-07 EX-24 2 poaofficer.txt POWER OF ATTORNEY LIMITED POWER OF ATTORNEY - SECURITIES LAW COMPLIANCE The undersigned, as an Officer of Tesla, Inc. (the "Company"), hereby constitutes and appoints Todd Maron, Jonathan Chang, Yun Huh, Aaron Beckman 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 3500 Deer Creek Road, Palo Alto CA 94304, as of the date set forth below. /s/John Douglas Field WITNESS Thomas Denton June 1, 2017