0001771364-23-000001.txt : 20230103 0001771364-23-000001.hdr.sgml : 20230103 20230103210457 ACCESSION NUMBER: 0001771364-23-000001 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221228 FILED AS OF DATE: 20230103 DATE AS OF CHANGE: 20230103 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Kirkhorn Zachary CENTRAL INDEX KEY: 0001771364 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-34756 FILM NUMBER: 23504147 MAIL ADDRESS: STREET 1: 3500 DEER CREEK ROAD 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/A 1 edgardoc.xml PRIMARY DOCUMENT X0306 4/A 2022-12-28 2022-12-30 0 0001318605 Tesla, Inc. TSLA 0001771364 Kirkhorn Zachary C/O TESLA, INC. 1 TESLA ROAD AUSTIN TX 78725 0 1 0 0 Chief Financial Officer Common Stock 2022-12-28 4 M 0 13350 18.44 A 204163.5 D Incentive Stock Option (right to buy) 18.44 2022-12-28 4 M 0 13350 0.0 D 2028-10-16 Common Stock 13350 5415 D This Form 4 is being amended to correct the reported option exercise amount and holdings of the Reporting Person as of December 28, 2022, following the exercise of 13,350 options on December 28, 2022. 1/60th of the shares subject to the option became vested and exercisable on November 1, 2018, and 1/60th of the shares subject to the option shall become vested and exercisable each month thereafter, so that all such shares subject to this option shall be fully vested as of October 1, 2023. By: Aaron Beckman, Power of Attorney For: Zachary J. Kirkhorn 2023-01-03